Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large opacity projecting over the right upper lung which could be fissural pleural fluid but is concerning for pneumonia . There is mild thickening of the minor fissure , unchanged in appearance . Again seen is severe cardiomegaly . There is air and fluid in the chest wall .
    OUTPUT:
    
Possible right upper lobe pneumonia . Recommend CT examination if clinically indicated . These findings were communicated to Dr . ___ By telephone at 2 : 10 PM , ___ min after discovery by Dr . ___ .