Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right internal jugular catheter again terminates in the mid SVC . Nasogastric tube has been removed . New streaky opacities in the left lower lobe , with adjacent small pleural effusion . Again seen are mild cardiomegaly and highly tortuous aorta . Prosthetic aortic valve is in place .
    OUTPUT:
    
Left lower lobe opacities and small effusion . This is suggestive of early pneumonia .