Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Again seen are relatively low lung volumes . There is more dense consolidation in the right middle lobe . There are bilateral pleural effusions , small - to - moderate on the right and small on the left . Elsewhere , the lungs are clear . Again seen is density projecting over the anterior right first rib , likely at the costochondral junction given persistence of the finding in this region on multiple priors . Cardiomediastinal silhouette is unchanged . Median sternotomy wires and mediastinal clips are again noted . Hypertrophic changes are noted in the spine .
    OUTPUT:
    
Bilateral effusions , larger on the right than on the left . Right middle lobe opacity compatible with pneumonia in the proper clinical setting . Alternatively , this could be due to atelectasis given low lung volumes . Recommend repeat after treatment to document resolution .