Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC line has been removed . The cardiac , mediastinal and hilar contours appear unchanged . The heart is normal in size . As before , there is mild relative elevation of the right hemidiaphragm . An unchanged band - like opacity in the lingula suggests minor scarring . There is a new posterior opacity in the right lower lobe silhouetting the hemidiaphragm with a small suspected pleural effusion . A trace pleural effusion is suspected on the left side . There is no pneumothorax . Bony structures are unremarkable .
    OUTPUT:
    
New right lower lobe opacity worrisome for pneumonia in the appropriate setting with a small associated pleural effusion although substantial atelectasis could also be considered .