Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is again noted with the lead terminating in the right ventricle , unchanged in position compared to the prior exam . The lung volumes are low . There is stable mild cardiomegaly . The aorta is tortuous . However , the mediastinal contours are otherwise unremarkable . The lungs demonstrate a new right lower lobe opacity , concerning for infection . There is also a streaky opacity along the mid-right lung , likely secondary to fluid along the fissures . No pneumothoraces or pleural effusions are identified . Numerous clips are again seen in the left upper quadrant . Multilevel degenerative changes are seen within the thoracic spine , mild - to - moderate in degree , overall stable compared to the prior exam .
    OUTPUT:
    
New right lower lobe opacity concerning for infection . ___ d / w Dr . ___ by Dr . ___ by telephone at 3 : ___p on the day of the exam .