Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right lower lobe opacity which is worse compared with radiograph done six hours prior . Left lower lobe opacification has also developed in the interim , consistent with bilateral lower lobe pneumonias . Otherwise , there is no significant change with no pleural effusion or pneumothorax and stable appearance of the cardiomediastinal silhouette and mediastinal wires .
    OUTPUT:
    
Bilateral lower lobe pneumonias . Telephone notification to Dr . ___ by Dr . ___ at 10 :42 a .m . on ___ , 10 minutes after discovery of findings .