Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable moderate cardiomegaly , dating back to at least ___ . The patient is status post median sternotomy and CABG . A left - sided pacemaker device is noted with leads terminating in the right atrium and right ventricle . The aorta is diffusely calcified and tortuous . The pulmonary vascularity is not engorged . The lungs remain mildly hyperinflated with flattening of the diaphragms suggestive of chronic obstructive pulmonary disease . There are chronic interstitial changes , however there does appear to be increased consolidation at the left lung base . Additionally , punctate high - density material within the right lung base is seen . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Increased consolidation at the left lung base concerning for pneumonia . Findings were discussed with Dr . ___ by Dr . ___ at 5 : ___p on the day of the exam .