Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Over last 24 hours moderate right pleural effusion has worsened and new right lower lung opacity could be accompanying concerning lung atelectasis or aspiration or evolving pneumonia . Mild - to - moderately enlarged heart size and minimally wide mediastinum is unchanged ; however pulmonary vascular engorgement is minimally worse since yesterday . An epidural catheter tip is approximately at mid thorax level . There is no pneumothorax .
    OUTPUT:
    
1 . Over last 24 hours right moderate pleural effusion is worse and new right lung opacity could be either accompanying atelectasis or aspiration or evolving infection . 2 . Pulmonary vascular engorgement is minimally worse since yesterday . Findings were discussed by telephone with Dr ___ at 2PM .