Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Contrary to the stated indication , there is no nasogastric tube identified . As compared to the prior examination , there has been a mild interval increase in the opacification of the right middle lobe and right lower lobe , concerning for potential aspiration versus infectious etiology . Redemonstrated is a persistent , left basilar opacity which obscures the left hemidiaphragm , and likely correlates with the patient 's known loculated effusion . There is no evidence of pneumothorax or overt pulmonary edema identified . Stable , mild cardiomegaly is noted . A triple lead pacer device is seen overlying the left chest , with its corresponding leads unchanged in position . The patient is postoperative with median sternotomy wires noted to be well - aligned . There is a VP shunt catheter again seen projecting over the right chest wall .
    OUTPUT:
    
1 . No radiographic evidence for NG tube placement . 2 . Increasing opacification of the right middle and right lower lobes , concerning for aspiration versus pneumonia . 3 . Stable , loculated left pleural effusion .