Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . Again seen are diffuse bilateral parenchymal opacities , somewhat more confluent on the right than on the left . There is superimposed right - sided pleural effusion with presumed fluid tracking in the minor fissure , similar to prior . Cardiomediastinal silhouette is within normal limits . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Extensive bilateral parenchymal opacities and right effusion similar to prior . As patient 's presentation and symptoms may not be as severe as radiographic picture , CT scan suggested to further evaluate and can be done at time of abdominal CT already scheduled .