Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Diffusely abnormal appearance of the lungs is again noted . Bilateral perihilar parenchymal opacities with more dense right upper lobe consolidation is noted . Blunting of the costophrenic angle suggests superimposed effusions . Mild cardiac enlargement and atherosclerotic calcifications of the arch are again noted . New left wall single lead pacing device seen with lead tip projecting over the right ventricle . Surgical clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
Bilateral parenchymal opacities potentially due to multi focal pneumonia and possible superimposed edema with effusions . Followup will be necessary after treatment .