Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac size is normal . The hilar and mediastinal contours are normal . Numerous poorly defined nodular opacities , and a few areas of confluent consolidations are seen in both lower lobes , lingula , right middle and upper lobes , with relative sparing of the left upper lobe . Small bilateral pleural effusions are likely present . There is no pneumothorax . Osseous structures are unremarkable .
    OUTPUT:
    
Widespread pulmonary opacities , with relative sparing of the left upper lobe , highly concerning for a multifocal pneumonia , such as mycoplasma or viral infection . Other etiologies such as fungal infection , varicella , and opportunistic infections can be considered in the setting of travel to endemic areas or immunosuppression . The above findings were discussed with Dr . ___ at 1 : 15 p .m . on ___ .