Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the previous radiograph , the patient has developed minimal bilateral pleural effusions as well as areas of opacities in both lower lobes . Given the clinical presentation of the patient , the presence of pneumonia is likely . In addition , the cardiac silhouette is slightly enlarged as compared to the previous exam , so that mild fluid overload could be present . Defect in the posterior part of the fifth right rib , unchanged . Mild bilateral symmetrical apical thickening .
    OUTPUT:
    
Suspicion of newly appeared bilateral lower lobe pneumonia , associated with minimal pleural effusions . At the time of dictation and observation , 1 : 14 p .m . , on ___ , the referring physician , ___ . ___ was paged for notification . Findings were discussed minutes later over the telephone .