Multifocal airspace opacities, most confluent in the left apex and in the right mid and lower lung, with the right mid lung lesion appearing dense and spiculated, raising concern for an underlying mass lesion. A moderate-sized right-sided pleural effusion is present, which may be parapneumonic.
Simple pleural effusion (Present) Mass/Solitary lung mass (Uncertain) Air space opacity–multifocal (Present)