Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral pleural effusions , right worse than left . There is an increased focal opacity at the left lung base . The cardiomediastinal and silhouette is within normal . Left - sided Port - A - Cath catheter terminates in the right atrium .
    OUTPUT:
    
1 . Bilateral pleural effusions , right greater than left . 2 . Increased focal opacity at the left lung base concerning for aspiration pneumonia . Difficult to exclude an underlying infectious process in the right lung base .