Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph is obtained . Right PICC is unchanged in the upper SVC . Multifocal right - sided pulmonary opacities are unchanged from the prior examination . The left lung remains well aerated . Right pleural effusion is likely present . The heart remains at the upper limits of normal with tortuous aortic contour . Spinal hardware is incompletely assessed .
    OUTPUT:
    
Unchanged multifocal right - sided pulmonary opacities consistent with multifocal pneumonia and likely accompanying effusion .