Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided PICC line has been removed . There is a new left lower lobe infiltrate . There are new bilateral small pleural effusions . The heart size is mildly enlarged compared to prior and there is pulmonary vascular redistribution . Old left sided rib fractures are again visualized .
    OUTPUT:
    
1 . New left lower lobe infiltrate .