Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall Port - A - Cath ends in the low SVC . There is a small to moderate left pleural effusion and possibly trace right pleural effusion . Increased opacification of the left lower lobe of may represent a combination of patient 's known lung cancer and some degree of superimposed infection . There is left hilar and likely right hilar lymphadenopathy .
    OUTPUT:
    
Small to moderate left pleural effusion with increased opacification involving the left lung , predominantly the lower lobe and lingula . This may represent a combination of patient 's known lung cancer and likely superimposed infection . Bilateral hilar lymphadenopathy is presumed .