Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multifocal regions of consolidation are present in both lungs , most severe in the lingula and left lower lobe and to a lesser extent within the right lower lobe and both upper lobes . The upper lobe opacities appear to be superimposed upon regions of bullous emphysema and linear scarring . Moderate sized , partially loculated left pleural effusion is present as well as a small right pleural effusion . Heart is upper limits of normal in size . Prominence of the central pulmonary vasculature is noted .
    OUTPUT:
    
Multifocal bilateral consolidation is concerning for multifocal pneumonia in the appropriate clinical setting . Differential diagnosis is broad and also includes non infectious causes such as cryptogenic organizing pneumonia , eosinophilic pneumonia and vasculitis , as well as a pneumonic form of lung adenocarcinoma . Moderate left and small right pleural effusions .