Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is upper limits normal in size . There is a moderate right pleural effusion , some of which is loculated . There is associated volume loss in the right lower lobe and an underlying infectious infiltrate ca n't be excluded in this region There is a small left effusion . There is mild pulmonary vascular redistribution no pneumomediastinum is identified
    OUTPUT:
    
Right - sided effusion and volume loss . An underlying infectious infiltrate ca n't be excluded .