Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . Mediastinal contour is unremarkable . Diffuse alveolar opacities are noted bilaterally , most pronounced and consolidated within the upper lobes . Mild indistinctness of the pulmonary vasculature is also present . Small bilateral pleural effusions are noted . No pneumothorax . Multilevel degenerative changes are seen in the thoracic spine with loss of height of several upper and mid thoracic vertebral bodies of indeterminate age . Fracture deformity of the right proximal humerus is re - demonstrated , better assessed on recent dedicated right shoulder radiographs .
    OUTPUT:
    
Diffuse alveolar opacities concerning for multifocal pneumonia . Probable mild pulmonary vascular congestion and small bilateral pleural effusions .