Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph obtained . Patient has a tracheostomy tube which appears grossly unchanged . NG tube courses into the left upper abdomen . A right arm PICC line is seen , tip extending into the lower SVC / right atrium . As seen previously , there is extensive opacity in the right lung concerning for pneumonia , though a component of loculated effusion is also suggested . There is likely superimposed pulmonary edema . No large left effusion . No pneumothorax . Overall , cardiomediastinal silhouette is difficult to assess .
    OUTPUT:
    
Persistent opacity involving the right lung is concerning for pneumonia with superimposed pulmonary edema . Right pleural effusion appears loculated .