Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is mildly enlarged , more so than on ___ with pulmonary vascular engorgement and interstitial edema superimposed on chronic pulmonary fibrosis . There is a left - sided pleural effusion along with left lower lobe consolidation as well as bilateral perihilar consolidations worrisome for pneumonia . There is no pneumothorax .
    OUTPUT:
    
Pulmonary edema with concurrent multifocal pneumonia on a background of chronic pulmonary fibrosis .