Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal with mild tortuosity of thoracic aorta . Hilar contours are unremarkable . There are extensive consolidations in the right lower lobe compatible with pneumonia . Lung is essentially clear with the exception of base atelectasis . Smaller consolidation and a small left pleural effusion is larger or more readily apparent that it was 7 hours earlier . There is no pneumothorax .
    OUTPUT:
    
Severe right pneumonia , moderate left lower lobe pneumonia , and small left pleural effusion , all worsened over 7 hours .