Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Esophageal stent is in place . Port - A - Cath is again noted over the left chest wall with catheter tip extending into the expected location of the superior vena cava . There is a left - sided chest tube again noted . Increasing bilateral pleural effusions with lower lung consolidation compared with prior exam . No definite pneumothorax . Heart size can not be assessed . Mediastinal contour appears stable . Bony structures are grossly intact . Clips in the right upper quadrant noted . Suture material is partially imaged along the medial right lung .
    OUTPUT:
    
Slight increased effusions and lower lobe opacities , concerning for pneumonia .