Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are small bilateral pleural effusions . Left perihilar opacity is most concerning for consolidation possibly from pneumonia , underlying pulmonary lesion not excluded . The cardiac silhouette is top - normal to mildly enlarged . The aorta is tortuous .
    OUTPUT:
    
Small bilateral pleural effusions . Left perihilar opacity concerning for consolidation , less likely asymmetric pulmonary vascular congestion , underlying pulmonary lesion not excluded . Recommend follow - up to resolution to exclude an underlying pulmonary lesion .