Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a right internal jugular venous line . A tracheostomy tube is in place . A left cardiac pacing device has is leads projecting over the right atrium and ventricle . An abdominal aortic stent is noted in the upper abdomen . There has been interval worsening of bibasilar opacities , right greater the left , and in the right upper lobe concerning for aspiration or aspiration pneumonia . The heart is enlarged , and there is no pleural effusion or pneumothorax .
    OUTPUT:
    
Worsening multifocal pneumonia .