Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrate unchanged position of pacemaker leads , terminating in the right atrium and the right ventricle . Within the right lung , multiple nodular and branching opacities are identified , which could represent a component of bronchiectasis , although not present previously , and also could be multifocal pneumonia in the appropriate clinical setting . Additionally , there is mild prominence of the right hilar structures , possibly representing lymphadenopathy or vascular structures . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Multiple nodular and branching opacities in the right lung could represent multifocal pneumonia in the appropriate clinical setting , or a component of newly - developed bronchiectasis . Right hilar prominence is non-specific but may due to lymphadenopathy or vascular structures . If further characteriztion is required , a contrast - enhanced CT is recommended .