Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is patchy opacification at the right lower lung with a slightly nodular appearance below the right hilus lateral to the right heart border . There is mild blunting at the right costophrenic angle which may represent a small amount of pleural fluid . No pneumothorax is detected . A slightly spiculated density projecting over the left lung apex is noted measuring approximately 1 .4 x 1 .2 cm . The heart is enlarged with increased prominence of the right heart contour from the prior study of ___ . The cardiac silhouette is slightly water bottle suggestive of possible pericardial effusion . The thoracic aorta is unfolded and mildly tortuous . The mediastinal contours are within normal limits and unchanged from ___ . The trachea is midline . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
1 . Right lower lung consolidation compatible with pneumonia . Nodular opacities within the consolidation lateral to the right heart border raised the possibility of underlying pulmonary nodule or mass . 2 . 1 .4 - cm spiculated mass in the left lung apex . Comparison with prior or subsequent chest CT would be helpful for further evaluation . 3 . Water bottle shaped cardiac silhouette concerning for pericardial effusion or cardiomegaly increased from ___ . Findings were discussed by Dr . ___ with Dr . ___ ___ telephone at 2 a .m . on ___ .