Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left basilar consolidation has increased substantially since ___ , either pneumonia or collapse with retained secretions . In either case , bronchial patency is suspect . Bilateral pleural effusions , small on the right and slightly larger on the left , and borderline cardiomegaly and pulmonary vascular engorgement are stable ; there is no edema or pneumothorax .
    OUTPUT:
    
Worsened left lower lobe pneumonia or lobar atelectasis ; consider retained secretions or aspiration . Persistent mild cardiac decompensation . Findings discussed with Dr . ___ by phone by Dr . ___ at 5 : 18 a .m . on ___ .