Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate a mildly enlarged heart , unchanged . Median sternotomy wires are intact . Paramediastinal radiation fibrosis is unchanged , allowing for differences in inspiration . There may be slightly decreased volume in the right lower lobe , with mild rightward shift of the mediastinum . There is a new focal opacity in the left upper lung , as well as increased opacity in the right lung . Bilateral pleural effusions , right greater than left , right increased . There is no pneumothorax . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
1 . New focal opacity in the left upper lung , as well as more diffusely in the right lung . These are evaluated in greater detail on CTA chest from the same day . 2 . Increased bilateral pleural effusions , right greater than left .