Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs again demonstrate a tracheostomy tube and a right chest single lead pacemaker with the lead overlying the right ventricle . Multifocal opacities are redemonstrated , worse in the left lower lobe and lingula , concerning for worsened pneumonia . Small bilateral pleural effusions are likely unchanged . There is no pneumothorax . The cardiac size is unchanged .
    OUTPUT:
    
Redemonstration of multifocal pneumonia , worse in the left lower lobe and lingula . These findings were discussed via telephone by Dr . ___ with Dr . ___ at ___ on ___ , upon discovery . As per this discussion , the patient was informed that he would likely be sent to the emergency department and admitted for treatment .