Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new complete opacification of the right hemi thorax with rightward shift of mediastinal structures , findings compatible with right lung collapse . There is likely a right - sided pleural effusion as well , but not well delineated from the right lung collapse . Previously demonstrated right basilar pneumonia is not well assessed . Heart size is difficult to evaluate but likely unchanged . The aorta is diffusely calcified . Pulmonary vasculature is not engorged . Left lung is hyperinflated with emphysematous changes again noted . A small left pleural effusion is not substantially changed . No left - sided focal consolidation or pneumothorax is present . Left - sided dual - chamber pacemaker device is noted with leads terminating in the right atrium right ventricle . Right PICC tip terminates in the upper SVC .
    OUTPUT:
    
Complete opacification of the right hemithorax with rightward shift of mediastinal structures compatible with right lung collapse . Right pleural effusion and right basilar pneumonia likely persist , but can not be assessed on the current exam . Unchanged small left pleural effusion .