Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Worsening multifocal areas of consolidation are present , including a dominant opacity in the right infrahilar region involving portions of the right lower and right middle lobes . Additionally , relatively symmetrical perihilar opacities have progressed in the interval as well as an area of opacity in the left retrocardiac region . Small pleural effusions have increased in size .
    OUTPUT:
    
Worsening multifocal pulmonary opacities , likely a combination of pulmonary edema and pneumonia . Bilateral small pleural effusions .