Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New multifocal opacities , some of which are indistinct , are present in the mid right lung , lower right lung , and lower left lung . A small left pleural effusion is new . Top normal heart size is unchanged . Dual - chamber pacemaker leads are unchanged in position , likely the right atrium and right ventricle . No pulmonary edema .
    OUTPUT:
    
Multifocal opacities in the mid right lung , lower right lung , and lower left lung may reflect aspiration or multifocal pneumonia . Small left pleural effusion is also present .