Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior radiograph , the known multifocal pneumonia with diffuse bilateral multi focal parenchymal opacities is largely stable . There is more obscuration of the left heart border . Moderate cardiomegaly is unchanged . No change in the pacemaker leads . No larger pleural effusions .
    OUTPUT:
    
No major change in the bilateral multi - focal pneumonia , with likely slight worsening evidenced by more obscuration of the left heart border .