Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright view of the chest was provided . Bilateral pleural effusions are noted with lower lobe opacity within the right lung which is concerning for pneumonia . There additionally is increased opacity in the left lower lobe which may also indicate consolidation . Heart size is difficult to assess . Mediastinal contour is stable with atherosclerotic calcification along the aortic knob . There is no pneumothorax . The bony structures appear intact .
    OUTPUT:
    
Lower lung opacities with bilateral effusions . Findings raise concern for acute focal pneumonia or possibly aspiration .