Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . In the background of diffuse increased interstitial opacities , there are foci of more confluent opacities in the periphery of the right lower lung , with probably associated pleural thickening in that region , confirmed in the lateral view . No other focal opacities are seen . There is bilateral hilar engorgement . Severe cardiomegaly is unchanged . There is no pleural effusions or pneumothorax . Sternotomy wires , surgical clips , and vascular markers from prior CABG surgery are again seen .
    OUTPUT:
    
Right lower lobe lesion , could be infection , infarction , or mass . Mild interstitial pulmonary edema , chronic cardiomegaly and pulmonary hypertension . ___ d / w Dr ___ by telephone at 9 : 14 AM .