Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single upright view of the chest provided . There are multi focal patchy opacities , including in the bilateral perihilar and left lower lung regions . There are small bilateral pleural effusions . There is no pneumothorax . Cardiomegaly is mild to moderate . The mediastinum is not widened . Imaged osseous structures are intact . There is mild dextroscoliosis of the thoracic spine . There is a left chest cardiac device with lead tip projecting over the right ventricle . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Multifocal pneumonia . Follow - up after treatment is recommended .