Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy . Cardiac pacemaker . Apparent elevation of the right hemidiaphragm is new , may in part be from subpulmonic effusion and / or worsening right basilar infiltrate and / or atelectasis . There is moderate left pleural effusion , which has worsened . Left perihilar infiltrate has improved . Left lower lobe consolidation is stable . Increased heart size , pulmonary vascularity stable . No pneumothorax .
    OUTPUT:
    
Worsened findings at the right lower lung , likely combination of pleural effusion with possible subpulmonic component , and atelectasis and / or infiltrate . Worsened left pleural effusion which now moderate .