Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heterogeneous opacities in the left lower lobe are highly concerning for pneumonia . Left apical scarring / bronchiectasis was seen on prior CT from ___ . The right lung is clear . The heart is mildly enlarged . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen . Multilevel degenerative changes of the thoracolumbar spine are noted . There is a right - sided pacemaker with associated right atrial and right ventricular leads .
    OUTPUT:
    
1 . Left lower lobe pneumonia . 2 . Mild cardiomegaly . Impression point # 1 was discussed with Dr . ___ by Dr . ___ at 12 :08 p .m . via telephone on the day of the study , immediately after discovery of the finding .