Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest . There is a moderate right - sided pleural effusion , increased from prior study . There is also likely a small left pleural effusion . There are bilateral patchy opacities , consistent with pulmonary edema . More focal opacity in the right lower lobe may represent pneumonia or atelectasis . Left - sided pacemaker is seen in appropriate position .
    OUTPUT:
    
New bilateral pleural effusions , moderate on right and mild on left , and mild to moderate pulmonary edema . A more consolidative right lower lobe opacity may represent pneumonia or atelectasis .