Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . The heart size remains unchanged . The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension . New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well . In addition , there is now clear blunting of the right and left lateral pleural sinuses extending into the posterior pleural sinuses as identified on the lateral view . The pulmonary vascular pattern does not show increased congestion in comparison with the previous study .
    OUTPUT:
    
Progression of previously existing bilateral parenchymal infiltrates and newly developed additional infiltrates are observed . In addition , bilateral pleural effusions have developed in the absence of evidence of pulmonary vascular congestion . Referring physician , ___ ___ , was paged for stat report at 1 :20 p .m .