Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in moderate - sized right pleural effusion , and right lower lobe opacity with new right upper lobe heterogeneous opacity . Unchanged left apical pleural thickening and scarring . No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia . No pneumothorax or pulmonary edema . Heart size is partially obscured by the pleural parenchymal process . Mediastinal contour and hila are normal . No bony abnormality .
    OUTPUT:
    
1 . Interval increase in moderate - sized right pleural effusion . 2 . Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration . Results were conveyed via telephone to primary team by Dr . ___ on ___ at 3 :40 p .m . within 5 minutes of observation of findings .