Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is normal . The lungs are hyper inflated . Bibasilar left greater than right opacities and nodular and peribronchial opacities in the upper lobes left greater than right have increased . There is no pneumothorax or pleural effusion
    OUTPUT:
    
Worsened multifocal opacities likely due to infection , CT is recommended .