Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bibasilar opacities are concerning for infection . These include a left lower lobe and a right lower lobe opacity . In addition , there is a small left pleural effusion . Right costophrenic angle is likely clear . Cardiac size is enlarged and associated with engorgement of the vessels .
    OUTPUT:
    
Bibasilar opacities concerning for pneumonia . Cardiomegaly and engorged vessels consistent with a high flow state .