Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Slightly rotated positioning . Inspiratory volumes are slightly low . There is mild prominence the cardiomediastinal silhouette , which is similar to 1 day earlier , allowing for differences in positioning . There is upper zone redistribution and mild diffuse vascular blurring , consistent with mild vascular plethora . There is hazy opacity along the right lung base , with obscuration of the right cardiophrenic angle , new compared with the film from 1 day earlier -- the appearance is more suggestive of a small effusion than an area of focal consolidation . The small lateral right base nodular density seen on the prior film is obscured by this new confluent density , probably incidentally ( i .e . the 2 findings are not thought to be related ) . No other focal opacity and no left - sided effusion identified . Minimal atelectasis noted at the left lung base medially . Incidental note is made of advanced degenerative changes in both shoulders , not fully evaluated on this film .
    OUTPUT:
    
New hazy opacity in the region of the right cardiophrenic angle and lower right chest wall --___ appearance is more suggestive of a new small effusion than of focal consolidation . Attention to this area on followup films is requested . No left effusion . Otherwise , no focal opacities . Mild vascular plethora , probably slightly increased . Subsegmental atelectasis left base . Small nodular density at the right lung base laterally is obscured , incidentally , on today 's exam . Please see previous report for relevant recommendations .