Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is interval development of multifocal patchy opacities in the left lung as well as left base consolidation . Right base consolidation is again seen with some associated atelectasis . No definite pleural effusion is seen although a small left pleural effusion be difficult to exclude . The cardiac and mediastinal silhouettes are grossly stable . Partially imaged is cervical metallic .
    OUTPUT:
    
Interval development of multifocal patchy opacities in the left lung as well as left lung basilar consolidation . Right base consolidation with associated atelectasis , appears improved as compared to ___ , possibly minimally improved since ___ . Findings are concerning for multifocal pneumonia . Given patient 's recurrent pneumonias , recommend further evaluation with contrast enhanced chest CT / pulmonary evaluation .