Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increase in moderate left loculated pleural effusion . The left lung opacification has also increased , concerning for worsening infection . Right upper lobe scarring is unchanged . There is no pneumothorax . The mediastinal and cardiac contours are normal . By reviewing the initial chest x-ray of ___ , there was scarring in bilateral upper lobes which could either reflect scarring from previous aspiration , but sarcoid could also be a possibility .
    OUTPUT:
    
1 . Increase in moderate left loculated pleural effusion . 2 . Worsening of left lung pneumonia . Wet read was done by Dr . ___ at 6 : 14 p .m . , ___ .