Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased opacification in the right upper lung is suspicious for an acute infectious process with both frontal and lateral view revealing an air - fluid level which may reflect fluid in the pre-existing cavity , though the acuity of this finding is uncertain as an air fluid level may have been present on the prior . The focal rounded opacity in the ___ study is not as well demonstrated on the current examination . There is no pleural effusion or pneumothorax . Heart and mediastinum are unchanged .
    OUTPUT:
    
Increased opacification of right upper lung in the setting of known bilateral apical cavities / mycetomas is suspicious for recurrence of known aspergilus infection , though other pulmonary infections including pneumonia can not be fully excluded . Depending on clinical circumstance further assessment by CT can be obtained . This was discussed with Dr . ___ by Dr . ___ at ___ on ___ by phone .