Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph there is significant interval improvement of previously of lobular enlarged appearance of the heart . However there is new opacification of the right lower lung , likely combination of consolidation , atelectasis , and pleural effusion . There are also patchy opacities in the left upper lobe on the background of diffuse increased interstitial thickening and vascular congestion . The aorta is calcified as before . Cardiac size can not be properly assessed in this AP exam . Severe mitral annular calcifications are present , unchanged .
    OUTPUT:
    
1 . Right lower lobe pneumonia with associated right pleural effusion on the background of vascular congestion and interstitial pulmonary edema . 2 . Significant interval improvement of previous enlarged globular appearance of the heart .