Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Again seen in the right perihilar region is a rounded opacity measuring 3 .2 x 3 .3 cm , grossly stable compared to prior . The previously seen left mid lung rounded mass is not as well appreciated on the prior study but still appears to be present , measuring approximately 1 .6 x 2 .6 cm , although again not well seen . There is patchy left base retrocardiac opacity . Cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged . The aorta is calcified . Single - lead left - sided pacer device is seen with lead extending to the expected location of the right ventricle . The lateral view is slightly suboptimal due to some patient motion and overlying external artifact . Partially imaged is the left humeral prosthesis . Additional smaller pulmonary nodules may be present in the upper lobes bilaterally , as better appreciated on CT . Lingular atelectasis / scarring is seen .
    OUTPUT:
    
1 . Findings worrisome for left lower lobe pneumonia . 2 . Multiple pulmonary nodules again seen .