Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Abandoned pacing leads are again demonstrated within the right chest wall and extend to the right atrium and right ventricle . Moderate enlargement of the cardiac silhouette has increased compared to the previous study and appears somewhat globular . The mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not engorged . New ill - defined consolidative opacity is seen in the left lower lobe with associated small left pleural effusion . Right lung is clear . No pneumothorax is demonstrated . There are mild degenerative changes noted in the thoracic spine .
    OUTPUT:
    
1 . Left lower lobe consolidative opacity concerning for pneumonia with small left pleural effusion . 2 . Increased size of the cardiac silhouette with a somewhat globular configuration . This may be due to an underlying pericardial effusion and correlation with echocardiogram is suggested .