Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged but unchanged . Mediastinal and hilar contours are similar . Lungs remain hyperinflated . Patchy ill - defined opacities are seen within the left upper lobe as well as both lung bases concerning for multifocal pneumonia . Calcified granuloma is re - demonstrated within the right middle lobe . No pleural effusion or pneumothorax is present . No acute osseous abnormality is visualized .
    OUTPUT:
    
Patchy ill - defined opacities within the left upper lobe and both lung bases concerning for multifocal pneumonia .