Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal contour is unchanged . Fullness of the hila bilaterally along with widespread perihilar ill - defined opacities and more focal opacification in the right lung base appear slightly progressed in the interval . No pneumothorax is demonstrated . Small right pleural effusion is noted . There is no acute osseous abnormality .
    OUTPUT:
    
Slight worsening of widespread perihilar and right basilar opacities reflective of lymphomatous infiltration with superimposed bronchitis . More focal opacity in the right lung base is concerning for pneumonia . Small right pleural effusion .