Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal . Mediastinal and hilar contours are unremarkable . New ill - defined opacities are noted within the both lower lobes and right upper lung field , likely within the superior segment of the right lower lobe . No pulmonary vascular engorgement , pleural effusion or pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Multifocal patchy opacities may reflect multifocal pneumonia in the correct clinical setting .