Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains mildly enlarged . Worsening perihilar opacities are noted , more so on the right , with increased ill - defined nodular opacities within the right lung diffusely . Persistent consolidative opacity in the left lower lobe is again noted along with small bilateral pleural effusions which are not substantially changed in size in the interval . Mild pulmonary vascular congestion is worse compared to the prior study . No pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Worsening multifocal pneumonia and persistent small bilateral pleural effusions . Mild pulmonary vascular congestion , also worse in the interval .