Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again seen . Lower lung volumes are noted . There are persistent bibasilar opacities now more conspicuous the left when compared to the right which could represent pneumonia . Superior lungs are clear consolidation but notable for pulmonary vascular congestion . The cardiomediastinal silhouette is unchanged given differences in positioning and technique .
    OUTPUT:
    
Bibasilar opacities now more conspicuous on the left which could represent focal infection . Pulmonary vascular congestion without other change .