Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are decreased . There is increased opacification at the right lung apex laterally compared to the prior study of ___ , which may be due to overlapping bony structures . A small focal airspace opacity is also noted in the right lung base , which is at the level of the nipples but has no correlate in the left hemithorax . There is streaky opacification of the left lung base , which projects over the lower lobe on the lateral view . A small left pleural effusion is present . Mild apical pleural thickening is noted bilaterally . No pneumothorax is present . The pulmonary vasculature is not engorged and there is no overt pulmonary edema . The cardiac silhouette is mildly enlarged , but stable . The mediastinal and hilar contours are within normal limits and unchanged . The trachea is slightly deviated to the right by the aortic arch . A lucency projecting to the right of the trachea in the cervical region likely represents air within the esophagus .
    OUTPUT:
    
1 . Left lower lobe pneumonia with small left parapneumonic effusion . 2 . New focal airspace opacities in the right lung apex and right lung base may represent superimposition of normal structures . Attention is recommended on followup . Findings were discussed by Dr . ___ with Dr . ___ ___ medicine via telephone at 10 : 50 am on ___ .