Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed . Compared to the prior study , there is a new collection of fluid in the left pleural place . Bilateral blunting of the costophrenic angles suggests possible small bilateral pleural effusions . The lungs are clear without focal consolidation , vascular congestion , or pneumothorax . A pacemaker is located in the left hemithorax with leads ending in the right atrium and in right ventricle . The heart size is normal . Surgical clips are seen in the right upper abdomen . There are no concerning osseous lesions .
    OUTPUT:
    
New collection of fluid in the left pleural space . To determine if the collection is free fluid or loculated , bilateral decubitus films are recommended . No radiographic evidence of pneumonia .