Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is the moderate left pleural effusion , unchanged since most recent radiograph from 1 day prior , with stable small right pleural effusion . Left lower lobe atelectasis stable . Right upper lobe opacity mildly improved from yesterday but now new opacity in the right lower lung concerning for multi - focal pneumonia secondary to aspiration . The cardiac and mediastinal silhouettes are unchanged . Median sternotomy wires again seen .
    OUTPUT:
    
No interval change in left pleural effusion . Right upper lobe and right lower lobe opacities concerning for multi - focal pneumonia could be due to aspiration in the right decubitus position .