Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are confluent bibasilar opacities due to a combination of right pleural effusion bilateral consolidations suspicious for infection and probable atelectasis . Given differences in technique , there has been no dramatic interval change . Tracheostomy tube is noted . Calcified mediastinal lymph nodes are also visualized . Cardiomediastinal silhouette is unchanged . Median sternotomy wires are intact . Right - sided dual - lumen central venous catheter tip is within the right atrium . Right PICC tip is also likely in the upper right atrium
    OUTPUT:
    
Bilateral right greater than left regions of consolidation and right pleural effusion as seen on recent chest x-ray .