Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to ___ chest radiograph , asymmetrically distributed perihilar regions of consolidation are new , more severe on the right than the left . Small bilateral pleural effusions are also new in the interval . Heart is upper limits of normal in size and is slightly larger than on the prior study , accompanied by mild pulmonary vascular congestion and scattered basilar interstitial opacities .
    OUTPUT:
    
Asymmetrically distributed perihilar airspace opacities are concerning for multifocal pneumonia in the setting of fever and cough . Coexisting interstitial opacities could reflect an atypical pneumonia but are more likely due to interstitial edema in the setting of pulmonary vascular congestion and new small bilateral pleural effusions .