Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy with a left chest AICD with electrodes in expected positions and epicardial leads . Unchanged moderate cardiomegaly . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . There is new right middle and right lower lobe consolidation , concerning for pneumonia . Small right pleural effusion is likely present . No left pleural effusion . No pneumothorax is seen . There are no acute osseous abnormalities . Degenerative changes of the visualized thoracolumbar spine .
    OUTPUT:
    
New right middle and right lower lobe consolidation , concerning for pneumonia . Probable small right pleural effusion .