Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is significant retrocardiac opacity with air bronchograms . Compared to ___ , the there has been partial obscuration of the left hemidiaphragm suggesting slight interval progression of left lower lobe collapse and / or consolidation The right lung base is grossly clear . No gross right effusion . Small left effusion would be difficult to exclude . The cardiomediastinal silhouette is unchanged with a left ventricular configuration . A right - sided pacemaker type device , with 3 leads , his unchanged . Note is made of several swirling of wires near their origin from the battery pack . There maybe there is equivocal slight upper zone redistribution , but no overt CHF . The Dobbhoff tube is present , tip overlying the gastric body . Incidental made note is made of finding is consistent with a right shoulder chronic rotator cuff tear . Mild deformity of a left upper chest rib is compatible with an old fracture , also seen in ___ . The previously described right lateral mid zone presumed granuloma is obscured by pacemaker leads on the current study .
    OUTPUT:
    
Persistent left lower lobe collapse / consolidation , which appears slightly worse compared with ___ . No new site of parenchymal infiltrate identified . Doubt CHF . Note made of coiling of pacemaker leads immediately distal to their origins from the pacemaker . Clinical correlation is requested . Leads are otherwise within normal limits .