Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior radiograph from ___ , there has been interval worsening . There is increased opacification of the right heart border and right hemidiaphragm , concerning for worsening pneumonia , mostly at the right middle and lower lobes . There is a new right perihilar consolidation . There is no pleural effusion or pneumothorax . Cardiomegaly is unchanged . A single - channel pacemaker lead terminates in the right ventricle . At the intersection of the right second anterior rib and the right fifth posterior rib there is a linear and nodular opacity which has apparently increased compared to prior examination from ___ and appears separate from the above findings .
    OUTPUT:
    
1 . Worsening pneumonia , mostly in the right middle and lower lobes with a new focal right perihilar consolidation . 2 . Separate from these findings is an apparently slowly growing nodule in the right upper lobe . Radiographic follow up within 8 weeks is recommended for evaluation of interval resolution of the above - described right middle / lower lobe pneumonia . If increase in right upper lobe nodule size persists at that time , further followup is recommended with CT .