Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacemaker device is noted with single lead terminating in the region of the right ventricle . Moderate to severe cardiomegaly is unchanged . The aorta remains tortuous . Focal consolidative opacity is demonstrated within the right upper lung field concerning for pneumonia . Additionally there is mild pulmonary vascular congestion . No pleural effusion or pneumothorax is identified though assessment of the right apex is obscured due to the patient 's chin and neck soft tissues projecting over this region . No acute osseous abnormality is identified .
    OUTPUT:
    
1 . Right upper lung field consolidative opacity concerning for pneumonia . 2 . Mild pulmonary vascular congestion .