Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . The aortic arch is partly calcified . There is a patchy left - sided perihilar opacification and even greater opacity in the right perihilar region and along the right cardiophrenic angle , worrisome for pneumonia in the appropriate setting . Mild perihilar fullness also suggests slight superimposed congestion . There is no pleural effusion or pneumothorax . Surgical clips project over the epigastric region . Small anterior osteophytes are present along the thoracic spine . Mild rightward convex curvature along the mid thoracic spine with small degenerative osteophytes appears similar .
    OUTPUT:
    
Patchy focal central opacities ; the appearance suggests a component of mild congestion , but there is heterogeneity and asymmetry of opacities suggesting that there may be coinciding pneumonia . Clinical correlation is suggested .