Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph is obtained . Cardiomediastinal contours are unchanged . Lungs are hyperinflated as seen previously . Increased small pleural effusion on the left . Right base and left perihilar opacifications are now more confluent with evidence of peribronchial cuffing suggesting asymmetric pulmonary edema with superimposed atelectasis . Consolidation can not be excluded . No pneumothorax .
    OUTPUT:
    
1 . Small left pleural effusion 2 . Increased pulmonary vascular congestion with bilateral pulmonary opacification consistent with superimposed atelectasis and / or consolidation .