Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The radiographic technique is slightly apical lordotic . Crescentic lucency under the left and right hemidiaphragms are consistent with peumoperitoneum , which appears new since the prior exam . Stable bilateral low lung volumes and bibasilar atelectasis . Significant interval improvement in the bilateral pleural effusions with the probably only minimal left pleural effusion remaining . Right apical pleural scarring , stable . Diffuse nonspecific bilateral patchy opacities are unchanged and likely correspond to the ground - glass opacities seen on recent CT which may be from infection . No overt pulmonary edema . No pneumothorax . Stable substantial cardiomegaly . Mediastinal contours are unchanged . Stable slight rightward deviation of the trachea without tracheal lumen narrowing at the level of the clavicles is likely secondary to the left thyroid , as suggested by the recent CT .
    OUTPUT:
    
1 . Pneumoperitoneum , new . 2 . Near complete resolution of the bilateral pleural effusions . 3 . Left thyroid lesion ; see CT report for recommendation .