Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mild to moderately enlarged , perhaps somewhat larger than before . The mediastinal and hilar contours are unremarkable . There are new dense opacities involving both lower lobes , greater on the right than left , and there is probably also some degree of atelectasis or pneumonia seen on the lateral view anteriorly , probably referring to the right middle lobe . There is no pleural effusion or pneumothorax . Pulmonary vasculature appears essentially within normal limits .
    OUTPUT:
    
Findings consistent with multifocal pneumonia . Mild to moderate cardiomegaly .