Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . The heart size is difficult to assess . There is a large left and small right pleural effusion . Increased opacity noted in the right mid to lower lung concerning for pneumonia . No pneumothorax . Bony structures intact .
    OUTPUT:
    
Large left and small right pleural effusion . Airspace opacity in the right mid to lower lung concerning for pneumonia . A component of pulmonary edema difficult to exclude .