Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dialysis catheter terminates in the right atrium . The patient is status post sternotomy . The cardiac , mediastinal and hilar contours appear stable . There are patchy new multifocal opacities in both mid to lower lungs . Right lateral pleural thickening suggests small loculated effusion , probably unchanged . The bones appear demineralized . Prior left mid clavicle fracture site appears unchanged .
    OUTPUT:
    
New opacities in the lower lungs , more striking on the right than left . Pneumonia should be considered as a possible etiology in the appropriate setting although findings may be due to aspiration or atelectasis .