Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval worsening of consolidation in the right middle and right lower lobes , as well as development of new consolidation in the left lower lobe . Previously reported focal opacity in the left upper lobe has slightly improved , however . The heart size , mediastinal and hilar contours are normal . Small pleural effusions are new . Increased lung volumes with increased AP diameter suggest the possibility of underlying emphysema .
    OUTPUT:
    
Worsening multifocal consolidation consistent with a multifocal pneumonia , possibly due to clinically suspected aspiration . Followup chest x-rays in four to six weeks after appropriate antibiotic therapy are recommended to ensure complete resolution , particularly of the more focal opacity in the left upper lobe , in order to exclude the possibility of a pulmonary neoplasm .