Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: This study includes a PA view only . The heart is at the upper limits of normal size . Ascending aortic contour is prominent and perhaps somewhat greater than on the prior examination , although comparison is somewhat limited due to slight differences in orientation . There is a patchy new opacity in the right lower lung , worrisome for pneumonia . In the left mid upper lung , several calcifications suggesting granulomas are present . There is no definite pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Right lower lung opacity suggesting pneumonia in the appropriate clinical setting . 2 . Prominent ascending aortic contour , perhaps somewhat increased . Although related in all likelihood due to tortuosity in part , the ascending aorta may be dilated and should be evaluated with chest CT when clinically appropriate .