Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable semi upright view of the chest . Right chest wall Port - A - Cath is again noted with catheter extending into the mid SVC region . Extensive bilateral pulmonary opacities appear slightly progressed from the prior radiograph remain concerning for multifocal pneumonia . A small right pleural effusion is present . Overall cardiomediastinal silhouette appears unchanged . Bony structures are intact .
    OUTPUT:
    
Worsening bilateral pulmonary airspace opacities remain concerning for pneumonia . Small right effusion .