Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral opacities , left greater right , likely reflecting worsening multifocal pneumonia . There is a small - moderate left pleural effusion . The heart size is normal .
    OUTPUT:
    
Worsening bilateral opacities , left greater than right , reflecting multifocal pneumonia . Small - moderate left pleural effusion .