Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are unremarkable . Again seen are bilateral atelectatic changes as well as evidence of a mild right - sided pleural effusion . There is also evidence of bilateral pulmonary venous congestion . There are some new focal opacities in the left lower lung base . Although this most likely may represent atelectasis , in the appropriate clinical setting , this may represent early consolidation . There is no evidence of pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
New left lower opacification likely secondary to atelectasis ; however , in the appropriate clinical setting , may represent early consolidation suggestive of pneumonia . These findings were discussed with NP ___ by Dr . ___ by telephone , at 5 pm on the day of the exam .