Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is heterogeneous ill - defined opacity in the right lower lobe with some central lucency , though not as well seen compared to the exam from the day before . Small pleural effusion on the right is also likely . The left lung is mostly clear . Heart size is large and have increased in size compared to the day before . Mediastinal and hilar contours are unchanged . There is no evidence for pulmonary edema or pneumothorax . Left - sided PICC terminates in the cavoatrial junction or right atrium , unchanged from prior . Sternotomy wires and surgical clips are intact and unchanged .
    OUTPUT:
    
1 . Right lower lobe pneumonia , cavitation suspected . Small right pleural effusion . 2 . Increase in size of the heart .