Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of of the chest provided . Compared to prior study from 1 day ago , there is new left upper lobe opacity . There are also new vague rounded opacities bilaterally . Fullness of the hilar structures is again seen . Cardiac silhouette is normal . There are no pleural effusions .
    OUTPUT:
    
Enlarged hilum and progression of multifocal opacities , chest CT is recommended for further evaluation .