Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , the left pleural effusion is larger and now moderate in size . There is a small right pleural effusion , which is new small rounded left basilar opacities may be due to adjacent round atelectasis . The heart size is normal with a tortuous aorta , and the central pulmonary arteries are enlarged , consistent with known history of pulmonary arterial hypertension .
    OUTPUT:
    
1 . Increased size of moderate left pleural effusion , and new small right effusion . 2 . Two rounded left basilar opacities may be due to adjacent round atelectasis but a nodular presentation of atypical lung infection or neoplasm could produce a similar radiographic appearance . Short - term followup radiograph or CT is recommended .