Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new right lower and possibly middle lobe consolidation . There is right pleural effusion , possibly loculated tracking along the right upper lung laterally . No pneumothorax is detected . Heart size is difficult to evaluate in the setting of overlying consolidation , but is likely within normal limits . The aorta is tortuous .
    OUTPUT:
    
New right lung consolidation and right pleural effusion ; pleural metastasis can not be excluded . Further evaluation is recommended with chest CT with IV contrast if clinically possible . Findings and recommendations were discussed with ___ by ___ by telephone at 3 :00 p .m . on ___ at the time of discovery of these findings .