Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate left pleural effusion has increased in size compared to the previous study , with adjacent atelectasis and or consolidation in the lingula and left lower lobe . New patchy peribronchiolar opacities in the right lower lobe could reflect a source of infection given clinical suspicion for pneumonia . Small right pleural effusion is unchanged . Cardiomediastinal contours are stable . Lungs remain hyperexpanded . Multilevel degenerative changes are present in the spine .
    OUTPUT:
    
1 . Moderate left pleural effusion has increased in size . 2 . New right lower lobe opacity , which could be due to a developing pneumonia given clinical suspicion for this entity . Small right pleural effusion is unchanged .