Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal . Worsening areas of opacification are demonstrated within both mid lung fields as well as within the right lung base , findings concerning for multifocal pneumonia . Multiple bilateral pulmonary nodules are obscured due to this new parenchymal process . Mediastinal contours are unchanged with widening of the left superior mediastinal contour compatible with known lymphadenopathy . There is mild pulmonary edema and small bilateral pleural effusions . No pneumothorax is identified . Emphysematous changes and hyperinflation of lungs are again noted .
    OUTPUT:
    
Worsening parenchymal opacifications within both mid lung fields and right lung base , concerning for multifocal pneumonia . Previously seen multiple bilateral pulmonary nodules are obscured by this acute pulmonary process . Mild pulmonary edema and small bilateral pleural effusions .