Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly with unfolding of the thoracic aorta is unchanged . Mild central pulmonary vascular prominence . Right lower lobe pneumonia with adjacent small effusion . Small left effusion is also present . No pneumothorax . Old right humeral fracture again noted .
    OUTPUT:
    
Right lower lobe pneumonia with small bilateral effusions .