Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube has been inserted . The patient is rotated . The patient has had prior right lung wedge resection with stable volume loss . There is no pneumothorax . Mild cardiomegaly is unchanged . The left - sided PICC line has been removed . A small left layering pleural effusion has slightly increased . A right upper lobe airspace opacity is unchanged . Airspace opacification at the left base has increased .
    OUTPUT:
    
Unchanged right upper lobe airspace opacity which is most likely due to pneumonia . Status post left pigtail catheter removal with increased small left layering pleural effusion . A chest CT may be obtained to distinguish between consolidation with aspiration or pleural effusion at the left base if clinically warranted .