Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy and mitral valve replacement . Left - sided AICD / pacer device is noted with leads terminating in the right atrium and right ventricle . Moderate cardiomegaly is slightly increased in size compared to the previous study . Atherosclerotic calcifications are diffusely noted throughout the thoracic aorta . Ill - defined nodular and hazy opacities are seen throughout the right lung , and likely involving the left mid lung field , which may reflect multifocal pneumonia with asymmetric pulmonary edema a differential consideration . No pleural effusion or pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Findings concerning for multifocal pneumonia primarily involving the right lung , with markedly asymmetric pulmonary edema within the differential diagnosis . Followup radiographs after diuresis are recommended for further assessment .