Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest shows interval increase of bilateral opacity due to a combination of pleural effusion and consolidation . The cardiac silhouette is obscured by diffuse consolidation . There is no pneumothorax . NG and ET tube are unchanged .
    OUTPUT:
    
Interval increase of bilateral opacity due to increased consolidation and pleural effusion for known multifocal pneumonia . Findings were reported to Dr . ___ at 3 :32 p .m . by Dr . ___ .