Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to chest radiograph from 3 days prior , there are new consolidative opacities in the bilateral upper lobes . Alveolar filling pattern is not typical of pulmonary edema . There is no associated volume loss . No pleural effusion the heart is enlarged . They and mediastinum and hila are difficult to evaluate due to overlying opacities .
    OUTPUT:
    
New consolidative appearance of bilateral upper lobes , concerning for bilateral pneumonia . However , pulmonary hemorrhage should also be considered in patient with bleeding diathesis .