Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Comparison is made to ___ . There is cardiomegaly which is unchanged from the prior study . Again noted is consolidation in the right lower and middle lobe . There are air bronchograms in the left lower lobe and patchy opacities as well . A central venous line is identified with its tip at the cavoatrial junction .
    OUTPUT:
    
Slight worsening of multifocal pneumonia which now also involves the left lower lobe .