Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small right pleural effusion . Small patchy opacities in the right lower lung may represent pneumonia vs scarring , not prior for comparison . Opacity underlying the pleural effusion in the lower portion of the right lung can not be excluded . No pneumothorax is seen . Lungs are again noted to be hyperinflated . Calcified tortuous aorta is noted . Heart size is top normal .
    OUTPUT:
    
Right lower lobe opacities and small pleural effusion , concerning for pneumonia vs scarring . However , correlation with clinical history is recommended as this could represent a more chronic process such as radiation fibrosis , chronic inflammatory process , or even malignancy , although this is difficult to determine in the absence of prior imaging . If prior chest radiographs available for comparison would be helpful . Preliminary findings were discussed with Dr . ___ by Dr . ___ ___ by phone at 11 : 11 a .m . on ___ .