Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to ___ , there is a new partially well defined ( lateral margin in not clearly seen ) rounded density projecting over the right mid lung . Whether this is a mass , infection or infarction depends upon chronicity , unfortunately unknown . Additionally , there is greater heterogenous opacification of the right lower lobe , that could be pneumonia or a condition such as bronchioloalveolar carcinoma since there was similar but less extensive opacification in this region in ___ . There is a small right pleural effusion . Moderate cardiomegaly is a little worse . A left chest wall pacemaker sends transvenous leads to the right atrium and right ventricle . There is no pneumothorax .
    OUTPUT:
    
1 . Suggest CT for new right lung lesion , discussed above . 2 . Worsened or recurrent consolidation right lower lobe , deserves CT evaluation also . 3 . Small right pleural effusion . 4 . Increased moderate cardiomegaly . These findings were discussed Dr . ___ by Dr . ___ ___ telephone at 5 : 15 a .m .