Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted is extreme kyphotic angulation of the thoracic spine as seen on previous lateral views of the chest . Extreme kyphotic angulation severe limits evaluation with first image displaying en face projection of the lumen of the trachea . Within this limitation , there is increased bibasilar consolidation compared to yesterday 's examination , worrisome for pneumonia . There is likely associated bilateral pleural effusion . The pulmonary vasculature is difficult to evaluate .
    OUTPUT:
    
Increasing bibasilar consolidation worrisome for pneumonia .