Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal contours are normal . Left hilar adenopathy is better seen on recent CT chest . The pulmonary vasculature is normal . Large left lower lobe consolidation and moderate right upper lobe consolidation are not significantly changed . Moderate left effusion is unchanged . Right effusion is minimal . No pneumothorax .
    OUTPUT:
    
No significant changes from yesterday in multifocal pneumonia , moderate left effusion , and minimal right effusion .