Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided chest tube has been removed . There are small bilateral pleural effusions which have increased in the interval since the prior day . There is at left lower lobe infiltrate / area volume loss with obscuration of the left hemidiaphragm which is also slightly worse . However the pulmonary vascular redistribution is less pronounced .
    OUTPUT:
    
Increased bilateral effusions have increased left lower lobe volume loss / infiltrate .