Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , heart size is increased , with increased pulmonary vascular congestion . There is a left pleural effusion and probable right pleural effusion . No overt pulmonary edema . An opacity at the right lung base is concerning for pneumonia .
    OUTPUT:
    
1 . Interval increase in heart size , with increased pulmonary vascular congestion , pleural effusion , and probable right pleural effusion . No overt pulmonary edema . 2 . Right lower lobe opacity is concerning for pneumonia .