Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . The mediastinal and hilar contours are stable . There are no definite pleural effusions . On two views , a vague new right middle lobe opacity can be discerned . There is exaggerated kyphosis , bony demineralization and mild - to - moderate mid thoracic degenerative spinal changes .
    OUTPUT:
    
Vague new right middle lobe opacity suggesting pneumonia .