Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs , there is a new focal consolidation in the right middle lobe , concerning for pneumonia , likely aspiration given the clinical setting . Central pulmonary vascular congestion , bilateral pleural effusions , and pulmonary edema are slightly increased . No pneumothorax . Cardiomediastinal silhouette is difficult to evaluate due to underlying thoracic dextroscoliosis and suboptimal patient positioning . Long tubular structure is noted to run across the entire field of view , presumably outside the patient .
    OUTPUT:
    
1 . New right middle lobe consolidation is concerning for pneumonia , likely aspiration , given clinical history . 2 . Increased volume loss , pulmonary vascular congestion , and pleural effusions , consistent with pulmonary edema .