Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Suture material is again seen projecting over the left lower lung with tiny clips in the left upper abdomen . Bilateral pleural effusions are increased from prior and small in overall volume . Also noted is pleural based opacity at the right apex and along the periphery of the right mid lung which is concerning for loculated effusion similar in appearance to prior exam . Ground - glass opacities in the lower lungs raise concern for pneumonia . In addition , ill - defined opacity in the right upper lung may reflect a component of pneumonia . Cardiomediastinal silhouette is unchanged . Imaged bony structures are intact .
    OUTPUT:
    
Increasing pleural effusions , small in volume with lower lobe ground - glass opacity concerning for pneumonia . Probable loculated pleural effusion along the right lung apex and periphery of the right mid lung . Possible additional focus of pneumonia in the right upper lobe .