Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Consolidation and volume loss in the anterior segment of the right upper lobe which developed between ___ and ___ has not cleared . This is either an unresolving pneumonia or an indication of bronchial obstruction ( impaction , mass , foreign body or stricture ) . If the abnormality does not clear with antibiotics and bronchodilators , as evaluated with conventional chest radiographs in two weeks , CT scanning is indicated . Since mediastinal caliber has not decreased , the extensive adenopathy seen on Chest CT in ___ is still present , probably increased in the right lower paratracheal station , and in the right hilus as well . The cardiac silhouette is severely enlarged , but stable compared to prior studies . Pulmonary artery dilatation and moderate peripheral vascular congestion are chronic . No pleural effusion or pneumothorax is detected . Elevation of the right hemidiaphragm is stable .
    OUTPUT:
    
Right upper lobe pneumonia or atelectasis failed to clear over more than one month . See discussion above . Chronic adenopathy , probably worsened . Severe cardiomegaly and probable pulmonary hypertension . Findings discussed by telephone with ED attending physician Dr ___ at 8 :40 AM .