Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are submitted dated ___ at 13 49 .
    OUTPUT:
    
There small layering bilateral effusions . Patchy airspace disease within both lower lobes and possibly within the right middle lobe which are concerning for pneumonia or aspiration . Clinical correlation is advised . No pulmonary edema . No pneumothorax . Overall cardiac and mediastinal contours are within normal limits .