Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Previously seen multifocal patchy opacities now appear more nodular , especially in the left lung . The right perihilar consolidation appears slightly worse compared to prior . There is new superimposed vascular congestion . There is no effusion or pneumothorax . Cardiomegaly is mild to moderate . Imaged osseous structures are intact . There is mild dextroscoliosis of the thoracic spine . Left chest cardiac device with lead tip in the right ventricle is again seen . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Multifocal consolidations probably pneumonia and nodular opacities that could represent solid nodules . When clinically appropriate , CT chest is recommended . New superimposed mild pulmonary edema