Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a consolidation of the right lower lobe , with a more patchy opacity in the mid lung field accompanied by a moderate pleural effusion in this side . The right hemidiaphragm is obscured but the right heart border is well defined . There is a patchy opacity also in the left lower lung field , but no blunting of the left costophrenic angle . There is stable moderate cardiomegaly with bilateral hilar prominence and vascular upper redistribution . The mediastinal contour is unremarkable and there is no pneumothorax . A pacemaker generator is noted in the left axilla with the leads ending in expected positions in the right atrium and right ventricle .
    OUTPUT:
    
Overal pattern compatible with congestive heart failure with superimposed right lower lobe consolidations concerning for infectious / inflammatory process .