Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Elevation of the right hemidiaphragm is chronic . Right hilar opacity is progressed when compared to the prior chest radiograph , likely reflecting a combination of the patient 's known malignancy with right middle and lower lobe collapse though infection is not excluded . A small pleural effusion on the right appears increased when compared to the prior study . There is mild pulmonary vascular engorgement . Streaky opacity in the left lung base likely reflects atelectasis . There is no pneumothorax or left - sided pleural effusion . Known hiatal hernia is better seen on the prior CT . No acute osseous abnormality is seen . Levoscoliosis of the thoracic spine is unchanged . Ring - like calcification in the left upper quadrant of the abdomen is compatible with a calcified splenic artery aneurysm , unchanged .
    OUTPUT:
    
1 . Worsening right hilar opacification likely reflecting the patient 's known malignancy with right middle and lower lobe collapse , though infection is not excluded . Interval increase in size of small right pleural effusion . 2 . Mild pulmonary vascular congestion .