Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . When compared to prior , there has been interval progression of the opacity in the right lung , which had been previously resolving pneumonia . There are now increased parenchymal opacities on the left as well . Small bilateral pleural effusions are identified , some of which appears loculated along the left chest laterally . Dual - lead right - sided chest wall pacing device is again seen . Cardiac silhouette is enlarged but stable in configuration . No acute osseous abnormality is detected .
    OUTPUT:
    
New small bilateral effusions . Probable worsening of the right - sided parenchymal opacities which had been resolving pneumonia on most recent exam . Developing left - sided parenchymal opacities as well , which could represent infection although superimposed edema is also possible .