Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left subclavian dual lumen central venous catheter terminates in the right atrium . There is a large opacity in the right mid and lower lung with air bronchograms and associated moderate pleural effusion . There is also small pleural effusion at the left base . Heart size is normal . The mediastinal and hilar contours are unremarkable . There is no pneumothorax . There is S - shaped curvature of the thoracolumbar spine .
    OUTPUT:
    
Large area of opacity in the right mid and lower lung with associated pleural effusion worrisome for aspiration / pneumonia .