Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is top normal . The mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Lungs are hyperinflated with marked paraseptal and emphysematous changes . Mild pulmonary vascular engorgement is new in the interval . Increased patchy opacities are demonstrated within the left lung base , concerning for developing infection . Small bilateral pleural effusions are noted . No pneumothorax is present . Mild degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular engorgement with small bilateral pleural effusions , new from ___ . Patchy left basilar opacity may reflect developing infection .