Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left cardiac conduction device is contiguous with leads which terminate in the right atrium right ventricle . There is a fracture of the inferior - most sternal wire . Severe cardiomegaly is unchanged . There is a focal opacity in the right midlung and right lung base . Bilateral pleural effusions are small . Severe degenerative change at the glenohumeral joints , bilaterally . No pneumothorax .
    OUTPUT:
    
Opacities in the right mid lung and right lung base are concerning for pneumonia in the appropriate clinical setting .