Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are moderately well inflated . There is worsening consolidation in the left lower lobe now all involving the left upper lobe as well . Associated worsening left pleural effusion is also noted . Right lung is clear . There is cardiomegaly as before . Sternotomy sutures and postsurgical changes project over the mediastinum . EKG leads overlie the chest wall . Diffuse demineralization is present .
    OUTPUT:
    
1 . Worsening consolidation in the left lower lobe now extending to involve the left upper lobe with likely a moderate - sized left pleural effusion . 2 . Unchanged cardiomegaly and postsurgical changes projecting over the mediastinum .