Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA lateral images of the chest . Lungs are moderately well - expanded . Bibasilar opacities have increased in the interval , consistent with worsening multifocal pneumonia . The upper lungs are clear . Small bilateral pleural effusions are seen . No pneumothorax is seen . Hilar adenopathy is more pronounced than in ___ but similar to more recent exams . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
Increased bibasilar opacities consistent with worsening multifocal pneumonia .