Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A 2 .6 cm rounded opacity is seen in the right lower lung . Increased opacity in the right lower lung abutting the right heart border is concerning for consolidation . Increased heart size may indicate cardiomegaly and / or pericardial effusion . Small pleural effusions are new . A 6 mm calcified granuloma in the left lower lung is stable . A 1 .2 cm calcified lymph node is seen on the lateral view . No pneumothorax is seen . The hilar and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
1 . New infectious nodule , R lower lung 2 . Opacity in the right lung base is concerning for consolidation . 3 . Increased heart size may indicate cardiomegaly and / or pericardial effusion . 4 . Small pleural effusions are new .