Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are patchy ill - defined opacities in the right hemithorax , which were largely seen on the prior CXR . However , the right lung base opacity has worsened over the past 5 hours . These findings are compatible with multifocal pneumonia . Left layering pleural effusion appears to have improved , but this may partially be due to change in positioning . No pneumothorax . Mediastinum appears wide , but is stable . Heart size is top normal . No acute osseous abnormalities . The endotracheal tube , right PICC line , enteric tube are unchanged in position . Surgical clips are noted in the right upper quadrant .
    OUTPUT:
    
1 . Increased multifocal ill - defined opacities in right hemithorax , this is concerning for worsening multifocal pneumonia . 2 . Left pleural effusion appears to have improved , though this may partially be due to positioning .