Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild - to - moderate edema is new . The opacity in the right lower lobe with silhouetting of the right hemidiaphragm costophrenic angle is concerning for new airspace opacity such as infection and / or edema . Increased opacity in the left lower lobe may reflect a combination of edema , concurrent infection , and atelectasis . Persistent elevation of the left hemidiaphragm is unchanged . Bilateral pleural effusions hernia . Left lower lung pleural calcifications are unchanged since at least ___ . Sub - 4 mm opacities projecting over the left upper lobe are unchanged since at least , likely granulomas .
    OUTPUT:
    
Bilateral increased lower lobe opacities and pleural effusions are consistent with volume overload , however concurrent multifocal pneumonia can not be excluded . Given history of hemoptysis and increased opacity in the left lower lobe , recommend non emergent CT of to exclude an underlying mass .