Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . The previously seen opacification in the left lower lung persists on the study , although there are multiple air - fluid levels which are more prominent than they were previously and could represent a loculated fluid collection . There is stable appearance of multiple pleural plaques . There is no significant pulmonary edema , pneumothorax or new area of consolidation . Pacemaker leads is in unchanged position compared to prior study . There is pronounced kyphotic curvature of the thoracic spine with multilevel compression deformities as seen on prior study .
    OUTPUT:
    
Left lower lobe consolidation is again seen and multiple air - fluid levels suggest loculated fluid collection . Otherwise , not significantly changed since the prior radiograph . The above findings were communicated to Dr . ___ by Dr . ___ ___ ___ at 12 o ' clock , five minutes after the finding was discovered .