Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The aorta is mildly tortuous with diffuse atherosclerotic calcifications . The pulmonary vascularity is not engorged . Worsening ill - defined patchy opacities are noted within both lung apices , right worse than left , as well as within the right lung base . Findings are concerning for multifocal pneumonia . Aeration within the left lung base is improved , with residual patchy opacity suggestive of atelectasis . Small left pleural effusion persists . No pneumothorax is identified . Multiple clips are again seen at the gastroesophageal junction . Diffuse demineralization of the osseous structures is noted .
    OUTPUT:
    
Worsening patchy ill - defined opacities within the lung apices and the right lung base concerning for infection . Streaky opacity in the left lung base appears improved compared to the prior study , and could reflect an area of atelectasis . Small left pleural effusion persists .