Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 8 :51 a .m . and allowing for differences in technique , the overall appearance is similar . Again seen is cardiomegaly , a small - to - moderate left effusion with underlying left lower lobe collapse and / or consolidation , and a small right effusion with underlying collapse and / or consolidation . There is upper zone redistribution and mild vascular plethora , which is probably slightly worse . Multiple rounded opacities overlie the left mid abdomen , of uncertain etiology or significance . These were not identified on a torso CT from ___ .
    OUTPUT:
    
1 . Small - to - moderate left and small right pleural effusions , with underlying collapse and / or consolidation , slightly worse compared with ___ . 2 . Upper zone redistribution and mild vascular plethora , also probably slightly worse .