Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The chin and overlying soft tissues partially obscure the bilateral lung apices . Small bilateral pleural effusions have decreased since the study of 5 days prior . Bilateral airspace opacities have substantially improved in the right lung , but persist at the left base . A tubular opacity projecting over the heart may be due to coronary calcifications or stents . Moderate cardiomegaly despite the projection is stable . Extensive vascular calcifications are incidentally noted .
    OUTPUT:
    
Interval decrease in small bilateral pleural effusions . Substantial interval improvement in resolving multifocal pneumonia .