Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . The hilar and mediastinal contours are within normal limits . A subtle right upper lobe opacity is new since ___ . There are tiny bilateral pleural effusions . There is no pneumothorax .
    OUTPUT:
    
Vague new upper lobe opacity warrants further evaluation with shallow oblique views . Initial interpretation was made at 11 :20 a .m . ___ by Dr . ___ ___ Dr . ___ , ___ communicated to ___ , NP , via telephone at 11 :24 a .m .