Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . There small bilateral pleural effusions , left greater than right that have increased compared to the prior exam . There is volume loss at the bases with dense retrocardiac opacification compatible with volume loss / infiltrate / effusion .
    OUTPUT:
    
Increased effusions and increased volume loss / infiltrate in the left lower lobe .