Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The apices are not included . Patchy bilateral pulmonary opacities with relative sparing of the upper left lung , consistent with pneumonia , persist . There is also evidence of small bilateral pleural effusions . The heart appears large although cardiac size may be exaggerated by AP technique . An ICD remains in place . A nasogastric tube is been inserted and terminates below the right hemidiaphragm .
    OUTPUT:
    
Persistent bilateral pulmonary opacities consistent with pneumonia .