Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflation of the lungs likely reflective of chronic pulmonary disease . Bilateral opacities , most prominent in the lower lobes and right upper lobe , are concerning for multifocal pneumonia . There is no pulmonary edema or pneumothorax . The heart is top normal in size and the aorta is tortuous .
    OUTPUT:
    
Bilateral opacities concerning for multifocal pneumonia .