Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The bilateral lower lobe pneumonia is unchanged . No new consolidation . The bilateral pleural effusion is worse compared to prior . No pneumothorax . The hila and pulmonary vasculatures are normal unchanged . The cardiomediastinal silhouette is unchanged and normal . No fractures .
    OUTPUT:
    
1 . Unchanged bilateral lower lobe pneumonia . No new pneumonia . 2 . Worsened bilateral pleural effusion .