Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the left . Dual lead left - sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle . There is medial left upper lobe opacity worrisome for consolidation . Bibasilar atelectasis is seen . Possible medial right upper lobe atelectasis / scarring . There may also be trace bilateral pleural effusions . Chronic underlying interstitial prominence is again seen . The cardiac silhouette is top - normal to mildly enlarged . Mediastinal contours are grossly stable given differences in patient positioning . The diaphragm activity right - sided pacer obscures the right lung base .
    OUTPUT:
    
Patient rotated to the left . Additional , battery pack from the right - sided pacer obscures the right lung base . Left upper lobe consolidation worrisome for pneumonia . Recommend follow - up to resolution . Bibasilar atelectasis and possible trace pleural effusions .