Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall biventricular AICD is present . A gastric tube is present , the tip projecting over the body of the stomach . Interval progression and increase in the bilateral but predominantly right sided airspace opacity is small bilateral pleural effusions are present . No pneumothorax identified . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Interval increase in the predominantly right - sided airspace opacities , suggestive of multifocal pneumonia . Bilateral pleural effusions .