Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increase in moderate left pleural effusion with stable small right pleural effusion . Left lower lobe atelectasis again seen . New opacity in the right upper lobe consistent with pneumonia . No pulmonary edema . No pneumothorax is seen . The cardiac and mediastinal silhouettes are unchanged . Median sternotomy wires and mediastinal clips again noted .
    OUTPUT:
    
New opacity in the RUL consistent with right upper lobe pneumonia Increase in left pleural effusion with stable right pleural effusion