Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph , there are new loculations of the moderate left pleural effusion , overlying the left upper lobe . The right upper lobe consolidation has slightly improved , although pneumonia can cavitate and produce a similar appearance . A moderate right pleural effusion is unchanged . Mild to moderate cardiomegaly is unchanged , with persistent pulmonary edema . Unchanged tracheostomy tube in standard position and left PICC line in the upper right atrium .
    OUTPUT:
    
1 . Right upper lobe consolidation has slightly improved , although a cavitating pneumonia can produce a similar appearance . If clinical suspicion is high , CT of the chest is recommended for further evaluation . 2 . Bilateral pleural effusions , with new left upper lobe collections of loculated fluid .