Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . Previously seen pneumomediastinum appears to have resolved . Mediastinal and hilar contours are otherwise unchanged . There is no pulmonary vascular congestion . Calcified bilateral pleural plaques are again seen with unchanged pleural thickening and chronic loculated pleural effusion within the right lung base and right apex . Multifocal opacities within the left mid lung field peripherally , as well as within both lower lung fields appear progressed when compared to the prior radiograph , and the opacities in the left lung appear more severe than compared to the prior chest CT . No pneumothorax is seen . Numerous clips are demonstrated within the gastroesophageal region .
    OUTPUT:
    
1 . Multifocal opacities appear progressed from the previous chest radiograph , and slightly increased within the left lung compared to the previous CT . Findings are concerning for multifocal pneumonia . 2 . Chronic calcified bilateral pleural plaques and loculated right pleural effusion , compatible with asbestosis , and better assessed on the recent CT . 3 . Resolution of the previously noted pneumomediastinum .