Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Support Devices : None . There has been reaccumulation of a right pleural effusion last seen on ___ . There is also evidence of right lower lobe volume loss . There is new heterogeneous opacity in the low left lower lobe . Left apical consolidation and hydro pneumothorax is unchanged . Chronic hyperinflation reflect the history of COPD . Heart size is normal . There is no pulmonary edema .
    OUTPUT:
    
Reaccumulation of right pleural effusion associated with right lower lobe volume loss . New left lower lobe opacity concerning for pneumonia or aspiration .