Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged or slightly worsened with left pleural effusion . Increased opacification in the right lower lung with some focal obscuration of the right hemidiaphragm . There is also increased opacification in the right upper lobe and as well as the left upper lobe , similar to findings on CT imaging from ___ . Stable calcification of the tracheal walls . The cardiomediastinal contours are stable . The osseous structures are stable .
    OUTPUT:
    
Multifocal opacifications , similar to prior CT , which may indicate an ongoing multifocal pneumonia or more likely a new developing process .