Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low bilateral lung volumes with interval increase in size of the pleural effusions , particularly the left . Interval worsening of the patchy airspace opacities in both lungs which may reflect pulmonary edema or multifocal pneumonia . No pneumothorax identified . The evaluation of the cardiomediastinal silhouette is limited secondary to the adjacent pleural effusions .
    OUTPUT:
    
Interval increase in size of the pleural effusions , particularly on the left . Increasing patchy airspace opacities bilaterally which may reflect worsening pulmonary edema or multifocal pneumonia .