Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unremarkable . Lungs are hyperinflated . No pulmonary edema is seen . Ill - defined patchy opacities are noted in the left lung base , concerning for pneumonia . Blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions , more pronounced on the left . No pneumothorax is present . No acute osseous abnormalities detected . Multiple clips are again noted at the gastroesophageal junction and in the right upper quadrant of the abdomen .
    OUTPUT:
    
Patchy ill - defined left basilar opacity concerning for pneumonia . Small bilateral pleural effusions .