Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , there are new opacities in the left mid and lower lung , mostly in the lingula . There are additional opacities in the right mid lung . There is a small left pleural effusion . The heart is enlarged .
    OUTPUT:
    
1 . Multifocal pneumonia . 2 . Small left pleural effusion .