Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral chest radiographs were obtained . The lung volumes are low . Substantial right upper and right lower lobe consolidation is present as well as asymmetrically distributed diffuse interstitial abnormality , more pronounced on the right . Heart is normal in size . Right mediastinal and hilar contours are difficult to assess due to adjacent consolidation . Tracheoesophageal stripe is thickened on the lateral radiograph . Small right pleural effusion is also noted .
    OUTPUT:
    
Right upper and lower lobe consolidation with asymmetrical interstitial thickening could reflect widespread pneumonia or aspiration with coexisting edema , but lung adenocarcinoma could produce a similar radiographic appearance . If infectious symptoms are present , consider short term follow up CXR after antibiotic therapy . In the absence of infectious symptoms , consider CT for further characterization , if warranted clinically . Findings were discussed with Dr . ___ by Dr . ___ by phone at ___ on ___ .