FINDINGS:
Consolidation with air bronchograms in the right lung base is accompanied by a
 moderate pleural effusion, which has apparently increased in size since the
 outside hospital radiograph, but positional differences limited comparison. 
 .Cardiomediastinal silhouette is enlarged.  Tracheostomy tube is in standard
 position.  No pneumothorax.

IMPRESSION:
Right lower lobe consolidation, suspicious for pneumonia.