Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The aorta is tortuous and diffusely calcified . The pulmonary vascularity is not engorged . Right lower lobe consolidative opacity is new compared to the prior study , concerning for infection or aspiration . Minimal streaky opacity in the left lung base could reflect atelectasis or an additional site of infection or aspiration . No pleural effusion or pneumothorax is identified . Scarring within the lung apices is unchanged . No acute osseous abnormality is identified though there are multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
Findings concerning for right lower lobe pneumonia or aspiration . Streaky left basilar opacity could represent an additional site of infection , aspiration or atelectasis .