Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . The lungs are well expanded . A new opacity is seen in the right lower lung , concerning for pneumonia or aspiration in the right clinical setting . Opacity at the left lung base is seen , which may reflect an additional site of pneumonia . Chronic volume loss is seen in the right upper lobe . There are bilateral pleural effusions . No pneumothorax is seen . Cardiomediastinal silhouette is stable from prior exam .
    OUTPUT:
    
Multifocal pneumonia involving the right middle lobe and left lower lobe , with bilateral pleural effusions .