Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest again demonstrate dense right lower lobe consolidation , which appears increased in size since the prior study . New since the prior study is a left lower lobe consolidation which may represent atelectasis or developing pneumonia . Lung volumes are decreased since the prior study . Cardiac size is normal accounting for difference in technique . The hilar and mediastinal contours are within normal limits . No pleural effusion or pneumothorax . Pocket of air in the left upper quadrant is extraluminal , as seen on the recent abdomen CT .
    OUTPUT:
    
Enlarged right lower lobe opacity and new left lower lobe opacity concerning for new pneumonia or atelectasis . Extraluminal free - air in the left upper quadrant seen on the recent CT .