Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Midline sternotomy wires and mediastinal clips are again noted . There is new consolidation within the left lower lobe which is concerning for pneumonia . A small left pleural effusion is also likely present . Calcified granulomas project over the right upper lung . Otherwise right lung is clear . Cardiomediastinal silhouette is unchanged . Bony structures are intact .
    OUTPUT:
    
Interval development of pneumonia in the left lower lobe . Small left pleural effusion .