Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The the hilar and mediastinal contours are normal . Consolidations in the left and right lower lobes and right mid lung , likley upper lobe . There are probable small bilateral pleural effusions . There is no evidence of pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
Multifocal regions of consilation worrisome for multifocal pneumonia or potentially aspiration . Component of edema in setting of background emphysema is possible .