Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post mitral valve replacement . The heart is mildly enlarged . A focal opacity projects over the right lower lung , worrisome for pneumonia , with more vague multifocal opacities seen in the right upper and left lower lungs , worrisome for multifocal pneumonia . These focal opacities are visualized within a background of indistinct upper zone prominence of pulmonary vessels suggesting pulmonary vascular congestion .
    OUTPUT:
    
Multifocal opacities most suggestive of pneumonia . Suspected coinciding mild - to - moderate pulmonary vascular congestion .