Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate irregular opacity punctuated with small lucencies possibly representing dilated bronchi . This could represent asymmetric edema versus infection , and could potentially represent entities such as bronchioloalveolar carcinoma . There may also be additional opacities in the right middle and left infrahilar lungs . There is no pneumothorax or pleural effusion . There is appearance of severe emphysema . Mild cardiomegaly is unchanged . Mediastinal and hilar contours are within normal limits . A left pectoral dual - channel pacer / AICD appears stable in location with leads terminating in the right atrium and right ventricle . Upper thoracic lordosis is unchanged .
    OUTPUT:
    
Findings concerning for multifocal pneumonia . Recommend treatment and followup to resolution . emphysema chk after edma rx mild cardiomegaly