Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Persistent diffuse multifocal opacities are slightly worse with increased density in the right upper and lower lung with left lung densities unchanged . There is no large pleural effusion or pneumothorax . Cardiomediastinal silhouette is unchanged . Endotracheal tube terminates 4 cm cranial to the carina . A left pectoral pacer is unchanged in position as is an abandoned right pacer lead . A left subclavian dual - channel catheter terminates close to the origin of the SVC and a left PICC terminates in the mid SVC .
    OUTPUT:
    
Progressive worsening multifocal pneumonia .