Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph there are now small bilateral pleural effusions . Left retrocardiac opacity likely represents lower lobe pneumonia . There is no pneumothorax . The cardiomediastinal silhouette is similar in appearance to the prior radiograph . Bony structures are intact .
    OUTPUT:
    
1 . Interval development of bilateral pleural effusions . 2 . Retrocardiac opacity likely represents left lower lobe pneumonia . These findings were reported to ___ by Dr . ___ ___ telephone at 5 p .m .