Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the most recent prior radiograph , there are now worsening focal opacities at the right base with obscuration of the hemidiaphragm which is concerning for infectious process . Bilateral pleural effusions have increased , especially on the right . There is significant volume loss of the right upper lobe as is evidenced by the minor fissure being pulled upward . The previously seen right upper lobe opacity is no longer identified and was likely atelectasis . There is no pneumothorax . Moderate cardiomegaly is stable .
    OUTPUT:
    
New focal opacities at the right base which are concerning for infectious process . Worsening bilateral pleural effusions , particularly on the right . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone at 10 :30 a .m .