Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright AP and lateral radiograph of the chest . Similar to the patient 's prior presentations , there are multifocal heterogeneous opacities bilaterally . There is denser consolidation in the inferior portion of the right upper lobe with pleural thickening or fluid tracking within the major fissure on the right . There is no pneumothorax or pleural effusion . Cardiac and mediastinal silhouettes are normal . Pulmonary vascularity is normal . There is a percutaneous cholecystostomy tube and a biliary drain with surgical clips in the upper abdomen .
    OUTPUT:
    
Findings concerning for multifocal pneumonia in a pattern similar to the patient 's prior presentation in ___ .