Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is worsening heterogeneous opacification of the right middle and right lower lobe concerning for worsening pneumonia or aspiration . There are small bilateral pleural effusions . There is no pneumothorax or overt pulmonary edema . Emphysema is noted . The heart is stable in size , and the patient is status post gastric pull through .
    OUTPUT:
    
Worsening multifocal pneumonia .