Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple focal patchy opacities are seen in the bilateral lungs , concerning for multifocal pneumonia . The heart size is normal . No pulmonary edema , pleural effusion , or pneumothorax . A radiopaque circular foreign body is seen projecting over the left lung base , possibly a nipple ring .
    OUTPUT:
    
Multiple focal patchy opacities are seen in the lungs , concerning for multifocal pneumonia or PCP . Please correlate with patient 's CD4 count .