Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bibasilar opacities , left greater than right , are concerning for pneumonia . There is a small left pleural effusion . Multiple calcified granulomas appear similar to the prior study . The heart remains enlarged . The aorta is tortuous and diffusely calcified . Old healed right - sided rib fractures are again seen . No pneumothorax .
    OUTPUT:
    
Bibasilar opacities , left greater than right , are concerning for pneumonia . There is a small left pleural effusion .