Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen . Multifocal opacities in the right lower lobe and a small area of increased density on the left .
    OUTPUT:
    
Opacities in the right lower lobe and a small density on the left may represent pneumonia . However pulmonary infarct can not be excluded . CTA chest is recommended to look for pneumonia vs disseminated carcinoma .