Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable single frontal chest radiograph was obtained with the patient in upright position . Lung volumes remain low . There is persistent bilateral pulmonary vascular congestion and interstitial edema . In addition , there is now an increased focal opacity in the left mid and lower lung fields . Bilateral small pleural effusions are stable . The heart size is difficult to assess due to parenchymal abnormalities . There is no pneumothorax .
    OUTPUT:
    
1 . Persistent pulmonary edema with bilateral pleural effusions . 2 . New focal area of consolidation in left mid and lower lung fields , concerning for superimposed pneumonia . Findings were communicated with Dr .___ by Dr .___ at 1 : 10 pm via telephone on ___ .