Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is unchanged . The mediastinum is widened and appears unchanged from prior . There are large pleural effusions bilaterally with atelectasis at the lung bases . There is a consolidation in the left perihilar region which has markedly worsened when compared to prior examination and is likely due to worsening pneumonia . Opacities in the right upper lobe are grossly unchanged . A questionable small pneumothorax is seen in the left apex . Esophageal stent and port A catheter are unchanged in position . Tubular structure projecting within the cardiac region is consistent with a pericardial drain .
    OUTPUT:
    
Large pleural effusions with worsening left perihilar consolidation , likely due to worsening pneumonia . Questionable small pneumothorax at the left apex . These findings were discussed with ___ by Dr . ___ via telephone on ___ at 11 :45 , time of discovery .