Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Overlying EKG leads are present . Hardware projects over the left proximal humerus as on prior . Multiple bilateral rib deformities are chronic . Moderate cardiomegaly persists . There is ill - defined airspace consolidation at the right lower lung which is concerning for pneumonia . Background mild fibrosis is unchanged . A small right pleural effusion is likely present . No large pneumothorax . Mediastinal contour is unremarkable . Old left clavicle deformity is also again seen .
    OUTPUT:
    
Opacity at the right lung base concerning for pneumonia . Additional chronic findings as described above .