Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new dense consolidation of the left lower lobe . Small bilateral pleural effusions are probably unchanged . A lateral left lower lobe pulmonary nodule is unchanged , better evaluated on recent CT . Heart size is normal . Cardiomediastinal hilar silhouettes are normal . No pulmonary edema . Incidental note is made of a radiopaque density projecting over the proximal left humerus .
    OUTPUT:
    
1 . Left lower lobe pneumonia or atelectasis . 2 . Left lower lobe pulmonary nodule is again noted . 3 . A radiodensity projects over the proximal left humerus . Dedicated humerus radiographs could be considered to definitively identify an osseous lesion . Alternatively , a nonurgent bone scan could be considered to evaluate for additional osseous lesions .