Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded . Compared with prior radiograph there is interval development of patchy opacities in the right lower lung , including both the cardiophrenic and costophrenic angles . Streaky opacities in the left lung base are not significantly changed compared with prior radiographs dating back to ___ and compatible with chronic change / scarring / fibrosis . Mild vascular congestion is present . Cardiac size can not be properly assessed due to technical factors . A left - sided pacemaker is redemonstrated with the leads ending in appropriate position . There are no pleural effusions or pneumothorax .
    OUTPUT:
    
New consolidations in the right lower lung are suggestive of alveolar process , pneumonia versus aspiration . Mild vascular congestion .