FINDINGS:
New from , is a moderate right pleural effusion with associated volume
 loss. Additionally, there is fullness of the right hilum.  Minimal blunting of
 the left costophrenic angle it may represent an additional small left pleural
 effusion. There is no focal consolidation to suggest pneumonia although a
 right lower lobe process cannot be excluded. Mild pulmonary edema is present.
 Right-sided cardiac border is obscured. Mediastinal silhouette is normal.

IMPRESSION:
1. New moderate right pleural effusion with associated volume loss and
 fullness of the right hilum; c hest CT with contrast is recommended for
 further evaluation.
 2. No definite pneumonia however, a right lower lobe process cannot be
 excluded.
 3. Mild pulmonary edema.