Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right Port - A - Cath is new and its tip projects over the expected region of the distal SVC . The NG tube has been removed in the interim . Detailed evaluation of the right apex is limited secondary to overlying soft tissue from the patient 's chin being flexed . Bilateral parenchymal airspace opacities involving most of the right lower and mid hemithorax as well as the left lower hemi thorax are new and more extensive on the right . The upper lungs are relatively spared . There is a layering right pleural effusion . No left pleural effusion or pneumothorax . The heart is normal in size . No pulmonary vascular engorgement .
    OUTPUT:
    
New bilateral , right greater than left parenchymal airspace opacities are most concerning for multi focal aspiration or diffuse infectious pneumonia in the appropriate clinical situation . Layering right effusion .