Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Innumerable nodules are extensive in each lung , similar to the prior exam . A new left lower lobe consolidation is new accompanied by a small left pleural effusion as well . The patient is status post median sternotomy . Heart is enlarged . Calcified aneurysm of the left ventricle apex is stable . Single - lead pacemaker device is in stable position . No right - sided pleural effusion is present .
    OUTPUT:
    
New left lower lobe consolidation worrisome for pneumonia . Extensive metastatic disease and mild - to - moderate cardiomegaly are stable .