Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . There are focal opacities in the right middle lobe , right lower lobe and left lower lobe , all of which are new compared to the prior exam . The mediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax . There is no evidence of reactive lymphadenopathy . The visualized osseous structures are unremarkable .
    OUTPUT:
    
Evidence of pneumonia in the right middle lobe , right lower lobe and left lower lobe , new compared to the prior exam . No evidence of a reactive pleural effusion or reactive lymphadenopathy . These findings were discussed with Dr . ___ at 10 :55 p .m . by Dr . ___ ___ by telephone .