Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable frontal upright image of the chest . The ET tube and NG tube are in good position . Bibasilar opacities are seen , which have increased from prior exam , concerning for pneumonia . There are moderate pleural effusions . There is no pneumothorax . The cardiomediastinal silhouette is unchanged from prior exam .
    OUTPUT:
    
Increased bibasilar opacities with moderate pleural effusions , concerning for pneumonia .