Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ chest radiograph , pulmonary vascular congestion is new with associated peribronchial cuffing . A new area of left perihilar airspace opacification has developed . Moderate to large right pleural effusion has increased in size with adjacent right middle and lower lung atelectasis and or consolidation . Small left pleural effusion is apparently new .
    OUTPUT:
    
New left perihilar airspace opacity which may reflect asymmetrical pulmonary edema or secondary process such as aspiration or infectious pneumonia . Enlarging right pleural effusion .