Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes . Worsening of bibasilar opacifications and right lower lobe opacity . Unchanged bilateral small pleural effusions . The right PICC line terminates in the cavoatrial junction . Tracheostomy tube projects over thoracic inlet appears intact .
    OUTPUT:
    
Worsening bibasilar and right lower lobe opacities may represent atelectasis but in the appropriate clinical setting multifocal pneumonia should be of high consideration .