Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are multifocal patchy opacities throughout both lungs , concerning for multifocal pneumonia . This is noted on the background of increased pulmonary vascular congestion . The heart size is enlarged but unchanged . There is no definite pleural effusion . No pneumothorax is seen . The aorta is calcified . A left pectoral pacemaker is unchanged in orientation . There is no evidence of lead disruption . Degenerative changes are seen within the bilateral acromioclavicular and glenohumeral joints .
    OUTPUT:
    
Multifocal patchy opacities concerning for multifocal pneumonia superimposed on a background of mild pulmonary edema .