Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The volume of aerated lung is significantly decreased on the current examination as compared with recent prior . Bilateral small - to - moderate pleural effusions , right greater than left , have increased in the interval . New opacities in the lung bases and medial right upper lobe are non-specific in appearance and may reflect multifocal pneumonia in the appropriate clinical circumstance . Alternative the basilar opacities could reflect compressive atelectasis and the right upper opacity asymmetric pulmonary edema . New moderate hilar fullness could reflect adenopathy or vascular engorgement . Chest CT is recommended for further clarification given the shortness of breath . Evaluation of the cardiac contours is limited due to the basilar opacities .
    OUTPUT:
    
1 . Multiple new opacities which could reflect multifocal pneumonia in the appropriate clinical circumstance . Recommend chest CT for further characterization . 2 . Increasing bilateral pleural effusions , both small - to - moderate though right greater than left .