Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are extremely low , accentuating the cardiac silhouette and pulmonary vasculature . Heart size is normal . Moderate left pleural effusion and left basal consolidation are new since ___ and increasing since ___ . Remainder of the lung fields is essentially clear . Endotracheal tube is in standard position with tip 3 cm cranial to the carina . Right internal jugular temporary pacer lead ends near the pulmonic valve . An upper enteric tube terminates in the mid gastric body . There is no pneumothorax . Vascular clips denote prior gastric surgery .
    OUTPUT:
    
1 . Acute , moderate left effusion and left lower lobe consolidation , point to pneumonia , alternatively reaction to subdiaphragmatic infection , perhaps due to surgical complications . 2 . Right internal jugular approach pacer wire likely in the right ventricular outflow tract or pulmonic valve . Appropriate positioning of ET tube and upper enteric tube . Dr ___ ___ reinterpretation with Dr ___ by telephone at 9 : 15 AM .