Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right upper lobe focal consolidation is unchanged since ___ , but worse than ___ . A left upper lobe focal consolation is more conspicuous today ; those confluent opacities could reflect multifocal pneumonia . The remaining of the exam is unchanged with a right - sided PICC line ending in lower SVC , moderate bilateral pleural effusions and atelectasis . Cardiac congestion is probably overestimated due to the pulmonary emphysema . There is no pneumothorax .
    OUTPUT:
    
Probable bilateral upper lobe pneumonia ; the right side , unchanged since yesterday , but increased since ___ and the left side more conspicuous than yesterday 's x-ray .