Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to prior , there has been worsening bibasilar opacities . Small pleural effusions are again seen , worse on the left . Cardiomediastinal silhouette is unchanged . There is no pneumothorax .
    OUTPUT:
    
Worsening bibasilar opacities , findings concerning for worsening infection and / or aspiration . Small bilateral pleural effusions , increased on the left .