Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP radiograph demonstrates persistent increased interstitial markings and indistinctness of the pulmonary vasculature , particularly on the right , along with blunting of the costophrenic angles , as before . Additionally , more distinct opacities are present within the right upper and right lower lobes , concerning for multifocal pneumonia . The cardiomediastinal silhouette is unchanged . Multilevel degenerative changes within the thoracic spine are again noted .
    OUTPUT:
    
1 . Opacities within the right upper and right lower lobes are concerning for multifocal pneumonia , in the correct clinical setting . 2 . Pulmonary vascular congestion and small bilateral pleural effusions .