Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new heterogeneous opacification of the right lung base superimposed upon chronic atelectasis and fibrosis of the same area . The left hemidiaphragmatic contour is also obscured , although this region of the radiograph is underpenetrated . The upper lung fields are clear . There is stable severe cardiomegaly . A right PICC terminates at the cavoatrial junction . There is no pneumothorax . The left costophrenic angle is not well visualized and a small effusion can not be excluded . Again noted is dextroscoliosis of the thoracic spine as well as stable ribcage deformity .
    OUTPUT:
    
1 . Right middle and possibly lower lobe consolidation consistent with pneumonia . 2 . Pneumonia involving the left lower lobe can not be entirely excluded . 2 . Stable severe cardiomegaly with a right - sided predominance .