Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . AICD is unchanged with lead extending into the region of the right ventricle . There is persistent right hilar opacity with increasing right upper lobe consolidation concerning for pneumonia . Increasing opacity is present in the left lower lobe concerning for multifocal pneumonia . No large effusion or pneumothorax . Heart size remains unchanged . Bony structures are intact .
    OUTPUT:
    
Worsening pneumonia , now involving right upper lobe and left lower lobe . Right hilar opacity likely related to pneumonia though underlying lesion can not be excluded . Therefore , followup to resolution is needed .