Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The known left upper lobe mass contains fiducial markers . As compared to the prior exam , there are new bibasilar airspace opacities , more conspicuous on the left and new small bilateral pleural effusion . There is no pneumothorax or overt pulmonary edema . The cardiomediastinal silhouette is normal and unchanged .
    OUTPUT:
    
New , bibasilar airspace opacities , greater on the left , possibly pneumonia . Small bilateral pleural effusions are also new . Left upper lobe bronchogenic carcinoma . Chronic goiter .