Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is top - normal in size . Hilar contours are normal . Again appreciated is left pacemaker with transvenous leads leading to the right atrium and right ventricle . Multiple patchy opacities are seen throughout the right lung . The left lung is clear . There is no effusion or pneumothorax . No acute bony abnormality is identified .
    OUTPUT:
    
Multiple patchy opacities throughout the right lung which , given the history , are worrisome for pulmonary contusions although pneumonia is not excluded . No fractures are identified however the sensitivity for rib fractures on chest radiography is low . If further suspicion of rib fractures persist , dedicated rib view radiographs are recommended .