Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Opacity at the right lung base as seen on prior study on ___ could be lower lobe pneumonia . A small left pleural effusion has increased and very minimal right pleural effusion is unchanged compared to prior study . No pneumothorax is seen . Moderate cardiomegaly is unchanged . Left pectoral transvenous pacer leads terminate in the right atrium and right ventricle . Transcutaneous epicardial leads terminate in the cardiac apex
    OUTPUT:
    
Possible right lower lobe pneumonia . Follow - up with conventional radiographs including oblique views recommended . Small Left pleural effusion increased since ___ . Unchanged right small right pleural effusion .