Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size appears within normal limits . The aorta is tortuous and diffusely calcified . Mediastinal contour appears relatively unchanged . Prominence of the hila bilaterally may suggest underlying lymphadenopathy . Consolidative opacity in the right middle lobe and ill - defined left perihilar opacity are concerning for areas of infection . No pleural effusion or pneumothorax is present . The pulmonary vasculature is not engorged . There are no acute osseous abnormalities .
    OUTPUT:
    
Left perihilar and right middle lobe consolidative opacities concerning for pneumonia . Prominence of the hila bilaterally suggests underlying lymphadenopathy which may be reactive . Followup radiographs after treatment are recommended to ensure resolution of these findings .