Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal upright view of the chest was obtained portably . The patient is very rotated . Scattered extensive bilateral air space opacities are noted , right worse than left , some of which have a rounded appearance , likely pneumonia . The minor fissure is elevated suggesting right upper lobe atelectasis . There is no pneumothorax . Blunting of the right costophrenic sulcus may represent a tiny pleural effusion . No left effusion . A small sclerotic focus in the proximal right humerus is incompletely evaluated , probably a bone island .
    OUTPUT:
    
Extensive scattered bilateral air space opacities are likely multifocal pneumonia . Recommend follow up radiographs to resolution . If this does not resolve on radiographs , repeat CT is recommended to exclude underlying malignancy . Per the ED notes , there is a prior chest CT , which is not available in our system at this time . Recommendations discussed with Dr . ___ ( MICU resident ) by phone at 5 : 10 pm ___ .