Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single - lead left pectoral pacemaker through left transvenous approach ends in the right ventricle . Right middle lobe pneumonia is new ___ ___ . Presumed small right pleural effusion is present . The left lung is clear . Top normal heart size , mediastinal and hilar contours are unchanged .
    OUTPUT:
    
Right middle lobe pneumonia . Dr . ___ ___ the findings with Dr . ___ by phone on ___ at approximately 1 :25 p .m .