Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are hyperinflated . Consolidation of the right upper lobe and right lower lobe are either worsened or new than prior exam , which may represent recent aspiration if the latter . Left lower lobe atelectasis is present and appears unchanged . The enlarged cardiomediastinal and hilar contours are stable . Probable small pleural effusions bilaterally . Pacemaker is intact and leads are in the appropriate position . Stable degenerative changes of thoracic spine .
    OUTPUT:
    
Worsening multifocal pneumonia .