FINDINGS:
PA and lateral views of the chest provided.  AICD is unchanged with lead
 extending into the region of the right ventricle. There is persistent right
 hilar opacity with increasing right upper lobe consolidation concerning for
 pneumonia. Increasing opacity is present in the left lower lobe concerning for
 multifocal pneumonia. No large effusion or pneumothorax. Heart size remains
 unchanged. Bony structures are intact.

IMPRESSION:
Worsening pneumonia, now involving right upper lobe and left lower lobe. Right
 hilar opacity likely related to pneumonia though underlying lesion cannot be
 excluded. Therefore, followup to resolution is needed.