Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two portable views of the chest . The lungs are hyperinflated with relative lucency seen superiorly suggesting underlying COPD . There are new bibasilar parenchymal opacities . Blunting of the costophrenic angles suggestive of superimposed effusion particularly on the left . Cardiomediastinal silhouette is within normal limits . Atherosclerotic calcifications seen at the aortic arch .
    OUTPUT:
    
Findings suggestive of bibasilar pneumonia and at least left - sided pleural effusion . Repeat after treatment suggested to ensure resolution .