Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable with mild cardiomegaly . Aortic and mitral valve prostheses are noted . In comparison to the earlier chest CT of ___ , diffuse extensive heterogeneous opacification in both lungs are new . Confluent right apical opacity , likely represents a right upper lobe peripheral consolidation . Left apical pleural thickening is unchanged . No effusions or septal thickening to suggest pulmonary edema .
    OUTPUT:
    
Diffuse multifocal pulmonary opacities with right upper lobe consolidation , is atypical for pulmonary edema . If followup chest radiograph in two days does not show significant improvement , chest CT is recommended for further assessment of these abnormalities .