Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates a normal cardiomediastinal silhouette and slightly lower lung volumes compared to the day prior . Bilateral lower lung opacities are persistent , more confluent on the right and unchanged on the left . There is no appreciable pleural effusion or pneumothorax .
    OUTPUT:
    
Worsening extensive pneumonia , with interstitial and consolidative components .