Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains mildly enlarged . The mediastinal contour is similar with tortuosity of the thoracic aorta re - demonstrated . New consolidative opacities are noted within the right upper and middle lobes , as well as patchy bibasilar airspace opacities concerning for multifocal pneumonia . Small bilateral pleural effusions are also new in the interval . Pulmonary vasculature is not engorged . There is no pneumothorax . No acute osseous abnormalities seen .
    OUTPUT:
    
Multifocal pneumonia with small bilateral pleural effusions .