Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is unremarkable . Irregularities at the pleural surface of the left lung base are from the earlier VATS . There is a new opacity in left upper lobe which when compared to prior CTs could be loculated fluid within the fissure again or a pneumonia . No effusion is seen in the dependent portions of the left lung at this time .
    OUTPUT:
    
Question fluid vs pneumonia in the right upper lobe . Consider CT . Findings discussed with Dr ___ by Dr ___ at 4 : 50 pm via telephone .