Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior study performed on ___ , there has been interval development of multifocal patchy consolidations , with predominant perihilar involvement . Additional innumerable nodular opacities are scattered throughout both lungs . Findings are concerning for multifocal infection . In the setting of immunosuppression , atypical and fungal infections should be considered . Notably , there is no pleural effusion . No pneumothorax . Heart size is normal .
    OUTPUT:
    
Bilateral patchy consolidations , predominantly in a perihilar distribution with relative subpleural sparing , consistent with multifocal infection . In the setting of immunosuppression , atypical and fungal infections should be considered . Specifically , pneumocystis jiroveci pneumonia is of concern , particularly in the absence of associated pleural effusions .