Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . A right lower lobe opacity is new from ___ . No other opacity is seen . There may be a small pleural effusion . No pneumothorax . Heart size is normal . Mediastinal silhouette is normal . Pulmonary vasculature is more engorged than on the prior study . Pacemaker leads end in the right atrium and right ventricle . Median sternotomy wires are intact . A coronary artery stent is present . Cement material is seen in the lower thoracic spine .
    OUTPUT:
    
Focal right lower lobe opacity may be pneumonia or early manifestation of pulmonary edema .