Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left PICC has been removed . The heart size is normal . The mediastinal and hilar contours are unremarkable . The pulmonary vasculature is normal . A new patchy opacity is demonstrated within the left lower lobe , with a small left pleural effusion . Right lung is clear . No pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
New left lower lobe patchy opacity is concerning for pneumonia in the correct clniical setting with adjacent small left pleural effusion .