Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is evidence of focal opacities in the left lower lobe , the right middle lobe and the right lower lobe consistent with multi - focal pneumonia . There is no pleural effusion or pneumothorax . There is no evidence of reactive lymphadenopathy . The heart is normal in size . The mediastinal and hilar contours are unremarkable . The visualized osseous structures are unremarkable . There is also evidence of a left - sided dual pacemaker .
    OUTPUT:
    
Multifocal pneumonia . These findings were discussed with Dr . ___ by Dr . ___ , by telephone , at 12 pm on ___ . A wet - read was placed into the system by Dr . ___ on ___ at 6 :59 pm .