Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left AICD and right internal jugular catheter are unchanged . New left lower lobe opacity has progressed since the prior examination . In this clinical setting could represent pneumonia / aspiration with adjacent pleural effusion . The right lung is relatively clear with low lung volumes .
    OUTPUT:
    
New left lower lobe opacity has progressed since the prior examination . In this clinical setting could represent pneumonia / aspiration with adjacent pleural effusion .