Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is the right middle lobe infiltrate . There is also left lingular infiltrate that is slightly increased in conspicuity compared to prior . There are small bilateral pleural effusions that have increased compared to prior . The patchy upper lobe infiltrate seen on CT is not as well visualized on the chest x-ray .
    OUTPUT:
    
Bilateral pneumonia with increased effusion .