Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted are bilateral lower lobe opacities , which have been present on multiple prior studies , including a CT from ___ . These were characterized as multifocal pneumonia . The upper lobes are clear . There is no pneumothorax or pleural effusion . Heart size is normal , as is the pulmonary vasculature . There is a nasogastric tube terminating within the stomach and a tunneled central venous catheter terminating at the cavoatrial junction .
    OUTPUT:
    
Bilateral lower lobe opacities in a pattern similar to multiple prior images , consistent in appearance with multifocal pneumonia . Consider non-emergent , outpatient evaluation with CT to further assess in the setting of nonresolving opacity .