Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new left upper lobe opacity concerning for pneumonia . There is increased bilateral pulmonary edema . Bilateral small pleural effusions are noted . No pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . Right shoulder prosthesis is incidentally noted .
    OUTPUT:
    
New left upper lobe pneumonia . Bilateral pulmonary edema has worsened .