Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mild to moderately enlarged . The mediastinal and hilar contours are unchanged . The pulmonary vasculature is normal . New consolidative opacity in the right lower lobe is concerning for pneumonia . There is a small right pleural effusion . Left lung is clear . No pneumothorax is present . No acute osseous abnormality is visualized .
    OUTPUT:
    
Right lower lobe pneumonia and small right pleural effusion .