Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall AICD is again seen with leads extending to the region the right atrium , right ventricle and coronaries sinus . There midline sternotomy closure device is in place with mediastinal clips . There is increasing right basal opacity which is concerning for increasing effusion and worsening consolidation which may reflect atelectasis and / or pneumonia . There is a tiny left pleural effusion . Hilar congestion is present without overt edema . The heart appears at least mildly enlarged though this is unchanged . Mediastinal contour stable . Left shoulder arthroplasty noted . Otherwise bony structures appear unremarkable . Gas-filled loops of nondilated small bowel partially imaged in the upper abdomen .
    OUTPUT:
    
1 . Mild cardiomegaly , bilateral pleural effusions right greater than left . 2 . Consolidation in the right lower lung likely atelectasis and / or pneumonia . 3 . Mild hilar congestion .