Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . Again seen is the tracheostomy tube . Compared with ___ , there is new patchy opacity at the base of the right upper zone and at the right lung base , with less pronounced patchy opacity extending toward the right lung apex . There is pleural fluid and / or thickening in the right costophrenic angle and extending along the right chest wall , that is similar to the prior study . In addition , there is new thickening of the right minor fissure which could represent pleural fluid extending along the minor fissure . As before , the right hemidiaphragm is likely elevated . Allowing for rotation , the mediastinum remains grossly midline . The mediastinum appears prominent , though this is likely accentuated by low inspiratory volumes and rotation . Heart size is at the upper limits of normal . In the left lung , there is minimal upper zone redistribution and minimal atelectasis linear atelectasis / scarring at the left lung base . The extreme left costophrenic angle is excluded from the film , but no gross left effusion is identified . There is background osteopenia . Incidental note is made of severe left glenohumeral osteoarthritis .
    OUTPUT:
    
New patchy opacity in much of the right lung , most pronounced at the base of the right upper lobe and at the right base . Although non-specific , the appearance is concerning for multifocal pneumonic infiltrate . Asymmetric CHF could have a similar appearance , but is considered unlikely given the absence of significant findings in the left lung . New thickened appearance of the right minor fissure suggests fluoro fluid layering along the minor fissure .