Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multifocal right greater than left parenchymal opacities persist with increased density at the right apex . Large right - sided effusion has increased and the small left effusion is roughly unchanged . There is no pneumothorax . A right internal jugular central venous catheter , left internal jugular dialysis catheter , endotracheal tube , and upper enteric tube are unchanged in position .
    OUTPUT:
    
Persistent multifocal parenchymal opacities with increased right apical consolidation and increased right effusion . This represents at least increasing pulmonary edema and is likely complicated by supervening pneumonia .