Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Opacities projecting over both right and left lower lobes are concerning for pneumonia . Tiny pleural effusions noted . The upper lungs appear well aerated . The heart size is top - normal . Mediastinal contour is unremarkable . Bony structures are intact .
    OUTPUT:
    
Lower lung opacities concerning for pneumonia with small bilateral pleural effusions .