Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited by patient positioning and rotation . The patient 's chin and neck obscures assessment of the right apex limiting the assessment for pneumothorax . No pneumothorax is grossly identified . Left basilar chest tube has been removed . Tracheostomy tube remains in unchanged position . Heart size appears mildly enlarged . The aorta is tortuous but unchanged . Fiducial seed is again demonstrated in a known right lower lung mass with continued right lower lobe atelectasis . Small to moderate size right pleural effusion is re - demonstrated . Worsening asymmetric increased interstitial markings on the right are noted as well as new focal consolidative opacity within the right lower lobe adjacent to the minor fissure . Small left pleural effusion is noted . Left lung is hyperinflated .
    OUTPUT:
    
1 . Limited study . No pneumothorax identified , though assessment for a right - sided small apical pneumothorax is difficult on this exam . 2 . New focal consolidative opacity in the right upper lobe is concerning for pneumonia . Worsening interstitial opacities in the right lung may be reflective of asymmetric pulmonary edema and / or lymphangitic spread of tumor . 3 . Unchanged small left pleural effusion .