Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are somewhat low . The pulmonary vasculature is mildly prominent , new since the prior study . There are small to moderate bilateral pleural effusions , left greater than right , increased from prior exam , possibly with some locualtion . Medial basilar opacity has increased in the left lower lobe , superimposed on chronic interstitial changes . There is no pneumothorax . The cardiomediastinal silhouette is unchanged from prior exam . A left anterior chest wall pacemaker is seen with intact leads in appropriate positions . Median sternotomy wires and mediastinal surgical clips are noted .
    OUTPUT:
    
Mild new vascular congestion . Bilateral pleural effusions , left greater than right and increased from prior exam . Increased left lower lobe opacity ; atelectasis or pneumonia could be considered - correlation with clinical presentation is suggested .