Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unremarkable without evidence of pneumomediastinum . Pulmonary vasculature is not engorged . Ill - defined nodular opacities are again seen within the left upper lobe , right upper lobe , and both lower lobes , slightly improved in the interval , and likely reflective of improving multifocal pneumonia / aspiration . No new focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormalities seen .
    OUTPUT:
    
No findings to suggest esophageal perforation including no pneumomediastinum or pleural effusions . Interval improvement in multifocal ill - defined nodular opacities in both lungs , likely reflective of improving multifocal pneumonia / aspiration .