Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires and metallic surgical skin ___ are again noted . A right IJ vascular sheath ends in the mid to low SVC . The Swan - Ganz catheter , endotracheal tube and enteric tube have been removed . Two left apical chest tubes remain in place . There is a new right perihilar rounded airspace opacity containing air bronchograms , which may be due to pneumonia or aspiration . Aeration of the left lung has not improved since the study of 2 days prior . Small to moderate bilateral pleural effusions are unchanged . Moderate cardiomegaly despite the projection is stable .
    OUTPUT:
    
New pneumonia or aspiration , likely of the right middle lobe . No other significant interval change since the study of 2 days prior .