Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the radiograph from 4 hr prior , there is no change in the multifocal parenchymal consolidation , predominantly upper lobes bilaterally . Moderate left and small right pleural effusions persist . Heart size and mediastinal contours are unchanged . Lung volumes are slightly lower .
    OUTPUT:
    
No significant change in multifocal opacities / consolidation from 4 hr prior . Moderate left and small right pleural effusions .