Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph demonstrates intact sternal wires , mediastinal clips , and a left chest wall pacer device with the lead overlying the right ventricle . Heart size is top - normal to mildly enlarged . There is obscuration of the left heart border consistent with a lingular consolidation . Additional patchy opacities are noted in the right lower and upper lung . There is no appreciable pleural effusion or pneumothorax . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
Multifocal patchy opacities , most prominent in the lingula . This may reflect pneumonia versus sequela of aspiration . Clinical correlation is recommended .