Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The patient is rotated to the left . The previously seen left - sided PICC is relatively similar in appearance . Left base opacity is new since the prior study and is worrisome for consolidation due to pneumonia with possible small pleural effusion . The cardiac and mediastinal silhouettes are stable . Lower lung volumes on the current study as compared to the prior . No evidence of pneumothorax is seen . Biapical pleural thickening is again seen .
    OUTPUT:
    
New left lower lobe opacity is worrisome for pneumonia .