Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . There is moderate cardiac enlargement . No typical configurational abnormality can be identified . Lateral view does not show any conclusive evidence for significant pericardial effusion . Thoracic aorta mildly widened with a few calcium deposits in the wall at the level of the arch but no local contour abnormalities are present . The pulmonary vasculature demonstrates extensive perivascular haze bilaterally at the bases as well as in the mid portions of the lung fields . In addition there are number of scattered somewhat confluenting infiltrates in the lung bases , somewhat more on the right than the left . On the left side the lateral pleural sinus is mildly blunted and the lateral view demonstrates extension of some pleural effusions in both posterior pleural sinuses . There exists a diffuse haze in the left upper lobe area which raises the possibility of an acute infection . This density appears to have increased since the next preceding portable chest examinations of ___ . Comparison with multiple preceding portable chest examinations obtained between ___ and ___ is little rewarding as the portable examinations concentrated most on the delineation of the NG tube . When comparison is extended to a more remote chest examination of ___ the cardiac enlargement has developed since that time and that no pleural effusions or acute pulmonary infiltrates were present .
    OUTPUT:
    
Persistent moderate cardiac enlargement with bilateral pleural effusions and plate atelectasis on the bases , suspicious new acute pneumonic infection in left upper lobe area . No pneumothorax .