Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided chest wall pacer and dual leads are in expected position . Sternotomy wires are re- demonstrated . The heart is enlarged but stable in size from the prior examination . Multifocal opacities in the right upper lobe and right lower lobe suggests pneumonia . There is no pneumothorax . Small bilateral effusions are demonstrated .
    OUTPUT:
    
Multifocal opacities in the right upper lobe and right lower lobe consistent with pneumonia . Small bilateral effusions . Cardiomegaly is stable .