Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A moderate - sized , loculated right pleural effusion is similar when compared to the prior study , though a small left pleural effusion appears to be new in the interval . Again demonstrated is volume loss in the left lung with leftward shift of mediastinal structures and unchanged architectural distortion , bronchiectasis , and pleural thickening involving the left upper lobe . Right basilar hazy opacity likely reflects compressive atelectasis . Streaky opacity within the left lung base may also reflect an area of atelectasis . There is no pneumothorax . No acute osseous abnormality is seen . There is no pulmonary vascular congestion , and the cardiomediastinal silhouette is stable .
    OUTPUT:
    
1 . Unchanged moderate loculated right pleural effusion , with new small left pleural effusion . 2 . Bibasilar airspace opacities likely reflect atelectasis . 3 . Evidence of prior granulomatous infection .