Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Worsening hazy opacification involving the left mid and lower lung fields likely reflects an increasing layering pleural effusion which is at least moderate to large in size . There is continued mild to moderate pulmonary edema . Small right pleural effusion persists . Bibasilar airspace opacities may reflect compressive atelectasis . Ill - defined focal nodular opacities within both lung apices are relatively unchanged . New ill - defined nodular opacities within the right upper lung field may reflect superimposed infection or aspiration . No acute osseous abnormality is identified .
    OUTPUT:
    
1 . Increasing layering moderate to large left pleural effusion and unchanged small right pleural effusion . Bibasilar atelectasis . 2 . New ill - defined nodular opacities in the right lung apex could reflect infection or aspiration superimposed on mild to moderate pulmonary edema . 3 . Unchanged biapical nodular opacities .