Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the study from ___ , there has been interval worsening of bilateral pulmonary opacities most prominent at the left upper lung and right lower lung . Moderate cardiomegaly is unchanged . Small bilateral pleural effusions are unchanged .
    OUTPUT:
    
1 . Interval worsening of bilateral pulmonary opacities most prominent at the left upper and right lower lungs concerning for worsening multifocal pneumonia . 2 . Small bilateral pleural effusions unchanged . 3 . Moderate cardiomegaly unchanged .