Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and tricuspid and mitral valve replacements . Heart size remains mildly enlarged . Mediastinal contours are unchanged . There is no pulmonary edema . Left basilar consolidative opacity is similar compared to the prior study with a small left pleural effusion , unchanged . Patchy right basilar opacity is new , though no right - sided pleural effusion is demonstrated . There is no pneumothorax . Left PICC tip terminates in the SVC . Clips are noted in the right upper quadrant the abdomen , likely due to prior cholecystectomy .
    OUTPUT:
    
Persistent left basilar opacity concerning for pneumonia and small left pleural effusion . New right basilar opacity could reflect pneumonia or aspiration .