Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . There are new focal opacities in both lungs , most notably in the superior segment of the right lower lobe . Other scattered parenchymal opacities are stable with the exception of a new opacification in the superior segment of the right lower lobe and the left mid lung .
    OUTPUT:
    
New multifocal opacities , most notably in the right lower lobe could represent pneumonia in the appropriate clinical setting . However , this is in the background of scarring and known granulomatous disease . Findings were discussed with Dr . ___ with Dr . ___ by phone at 4 :44 p .m . on ___ .