Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bibasilar opacities are new from prior examination . Opacities are at least partially related to bilateral moderate pleural effusions . However , morphology is concerning for multifocal pneumonia . The upper lungs are clear . There is no pneumothorax . No pulmonary edema is identified . Mediastinal and hilar contours are within normal limits . Evaluation of the cardiac silhouette is limited secondary to bibasilar opacities .
    OUTPUT:
    
Moderate bilateral pleural effusions , with underlying opacities concerning for pneumonia .