Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large patchy opacity in the right middle and lower lobes consistent with pneumonia . The lungs are otherwise well expanded . There is no pneumothorax or pleural effusion . The cardiomediastinal silhouette is unchanged . Rightward scoliosis of the spine and multilevel degenerative changes are noted .
    OUTPUT:
    
Right middle and lower lobe pneumonia . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone at 2 :45 p .m .