Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been previous median sternotomy and mitral valve replacement . A right internal jugular dialysis catheter continues to terminate in the right atrium , and biventricular pacer / ICD leads are unchanged in position as well . Stable cardiomegaly accompanied by worsening interstitial edema . Additionally , a more confluent area of opacity is present in the left lower lobe , partially obscuring the left hemidiaphragm . This is concerning for developing pneumonia . Small pleural effusions are present bilaterally .
    OUTPUT:
    
1 . Left lower lobe consolidation suspicious for pneumonia . 2 . Worsening interstitial edema and small pleural effusions .