Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again demonstrated are multifocal areas of consolidation involving both lungs , with lower lung predominance . Some of the consolidative opacities have a nodular contour . Allowing for differences in technique and projection , the overall appearance is similar to the prior radiograph of ___ . Cardiac silhouette remains enlarged . There is no evidence of pleural effusion or pneumothorax .
    OUTPUT:
    
Persistent multifocal consolidation which may be due to previously provided diagnosis of multifocal pneumonia . Differential diagnosis includes cryptogenic organizing pneumonia , vasculitis , pulmonary hemorrhage , and drug reaction .