Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are persistently low . Heart size is mildly enlarged . There are diffuse atherosclerotic calcifications . Mediastinal and hilar contours are unchanged . Focal opacity is seen within the right upper lobe concerning for pneumonia , and worse compared to the previous radiograph from ___ . Patchy and interstitial opacities within the lung bases bilaterally also appear similar compared to the prior study . No pleural effusion or pneumothorax is present . The pulmonary vasculature is not engorged . There are mild multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
Worsening consolidative opacity in the right upper lobe as well as persistent patchy and interstitial opacities in both lung bases , findings concerning for progression of multifocal pneumonia .