Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs were obtained . A hereterogeneous right lower lung opacity is difficult to localize on the lateral view and may reflect a new alveolar process . Small bilateral pleural effusions are present , right greater than left with a possible loculated component at the right lateral chest wall . Moderate cardiomegaly with biatrial enlargement is present with pulmonary vascular congestion . There is no pneumothorax .
    OUTPUT:
    
1 . Bilateral pleural effusions , right greater than left with a loculated component at the right lateral chest wall . 2 . Right lower lobe opacity concerning for new alveolar process . Recommend obtaining oblique views or follow - up with CT scan . 2 . Moderate cardiomegaly with biatrial enlargement and vascular congestion . Dr .___ ___ findings into critical result dashboard at 6 pm on ___ .