Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A bedside AP radiograph of the chest demonstrates marked worsening of the dense airspace consolidation affecting the right upper and middle lobes and the left upper lobe . There is no marked change in the size of the cardiac silhouette or the mediastinum , which does feature persistent vascular engorgement . There is no pneumothorax or pleural effusion , and the pulmonary vascularity is normal . A right - sided PICC terminates in the mid SVC .
    OUTPUT:
    
1 . Worsening multifocal pneumonia . 2 . Findings consistent with mild elevation of central venous pressure without signs of decompensated congestive heart failure .