Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable in appearance with persistent moderate to large hiatal hernia . Left basilar consolidation is new and potentially accompanied by small pleural effusion . Right basilar atelectasis or scarring has worsened since the prior study .
    OUTPUT:
    
Left lower lobe consolidation is concerning for pneumonia in the appropriate clinical setting . Standard PA and lateral chest radiographs would be helpful for more complete assessment when the patient 's condition permits .