Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The leads from the dual - lead pacer are unchanged . The calcification from the left ventricular aneurysm is again visualized . There is increased hazy opacity projecting over the left lung , compatible with an effusion layering posteriorly and superimposed alveolar infiltrate . This has worsened compared to the prior exam . There continues to be right lower lobe volume loss , right effusion .
    OUTPUT:
    
Worsened appearance to the left lung .