Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Dual lead pacer is again seen with leads extending to the region the right antrum and right ventricle . The heart is stably enlarged . Scattered airspace opacities remain concerning for pneumonia . Bilateral pleural effusions are likely small in size . As compared with the recent chest CT from ___ , there is slight interval progression in the overall extent of airspace opacity within the left mid and right upper lungs . Mild pulmonary vascular congestion / edema likely present as well .
    OUTPUT:
    
Multifocal pneumonia , appears progressed from prior imaging studies . Small bilateral pleural effusions . Stable mild cardiomegaly . Mild pulmonary edema .