Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size remains moderately to severely enlarged , slightly increased when compared to the prior chest radiograph . The mediastinal contour appears unchanged compared to the prior radiograph . Moderate size left pleural effusion with a component loculated laterally appears minimally increased compared to the prior study . Persistent left paramediastinal opacities compatible with prior radiation changes are again noted as is a consolidative opacity in the left lung base . Right basilar peribronchial opacities persist . No right - sided pleural effusion or pneumothorax is seen and there is no pulmonary vascular congestion . Slight increase in linear opacities in the left mid lung field may reflect atelectasis .
    OUTPUT:
    
1 . Persistent moderate size partially loculated left pleural effusion , slightly increased compared to the prior study , with unchanged left basilar consolidation concerning for an infectious process . 2 . Right basilar peribronchial opacities also persist and likely reflect bronchial inflammation and / or infection .