Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small right and moderate left pleural effusion are not significantly changed in size or appearance from ___ . There is associated pulmonary opacity involving the bilateral lower lobes as before , most consistent with compressive atelectasis or scarring . Biapical scarring is re - demonstrated . There is stable hyperexpansion of the lungs . The cardiomediastinal and hilar contours are within normal limits .
    OUTPUT:
    
Small right pleural effusion and moderate left pleural effusion are not significantly changed from ___ . Pulmonary opacity at the base of the left lung is similar in appearance to ___ and most likely reflects compressive atelectasis or scarring however underlying infection should be considered in the appropriate clinical setting .