Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . Compared to the study from ___ there appears to be an interval increase in the left lower lobe focal consolidation . There is stable blunting of the bilateral costophrenic angles suggestive of small bilateral pleural effusions . There is mild pulmonary vascular congestion as well as mild pulmonary edema . There is a tracheostomy tube which appears to be in place . There is no evidence of pneumothorax .
    OUTPUT:
    
Interval increase in the left lower lung consolidation concerning for worsening focal pneumonia . ___ d / w Dr . ___ by Dr . ___ by telephone on the day of the exam at 1 pm .