Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are provided . There is a large left effusion with associated consolidation in the left lower lung . Findings may refelct infection or malignancy . There is a small right effusion . Otherwise , the right lung is unremarkable . The heart size can not be assessed . Bony structures are intact .
    OUTPUT:
    
Large left pleural effusion with associated consolidation in the left mid and lower lung . Ddx includes pneumonia and malignancy . Please correlate with prior imaging / history .