Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heterogeneous opacities in the right upper lung and left lower lung are new compared to radiographs from ___ and concerning for infection . A small to moderate left pleural effusion is substantially increased . There is no definite right pleural effusion . Heart size is top normal . Unfolding of the thoracic aorta is unchanged . Aortic calcifications are again noted . Segmental left rib fractures are unchanged .
    OUTPUT:
    
1 . New right upper and left lower lung heterogeneous opacities are concerning for pneumonia . 3 . Increased small to moderate left pleural effusion . Findings were discussed with Dr . ___ by Dr . ___ at 2 : 46 a .m . via telephone on ___ .