Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is small bilateral pleural effusions , increased in size compared to prior . 2 left upper lobe lesions measuring 2 .7 and 2 .8 cm respectively are again visualized . There are small areas of volume loss versus early infiltrate in both lower lungs . The heart continues to be moderately enlarged .
    OUTPUT:
    
Small bilateral effusions , increased in size compared to prior .