Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is volume loss in both lower lungs . Early infiltrates in these regions can not be excluded . Compared to the study from 4 months ago the right upper lobe process has resolved the heart continues to be mildly enlarged . Sternal wires are again seen . Mediastinal clips are again visualized . There are tiny bilateral pleural effusions
    OUTPUT:
    
Volume loss / early infiltrates in both bases .