Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited due to poor position and rotation . Allowing for this limitation , lung volumes are low , with multiple bibasilar opacities . There is a large subpulmonic right - sided pleural effusion with minimal fluid tracking in the minor fissure . A left - sided pleural effusion is also present . There is no pneumothorax . ___ cardiac and mediastinal contours can not be assessed in the study .
    OUTPUT:
    
Bilateral pleural effusions with multiple bibasilar patchy opacities concerning for multifocal pneumonia .