Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable chest radiograph demonstrates multifocal opacities within the left mid and lower lung zones with associated left pleural effusion . There is additional small right - sided pleural effusion . The right lung is grossly clear without a focal consolidation . There is increased density within bilateral lungs as well as increased diameter of pulmonary vasculature , including hilar structures . These findings are consistent with mild to moderate pulmonary edema . The heart size is normal . There is no pneumothorax . Apical right pleural thickening is noted .
    OUTPUT:
    
Multi focal left pneumonia on background of mild to moderate pulmonary edema . These findings were communicated to Dr . ___ by Dr . ___ ___ telephone at 10 :37 on ___ at the time findings were discovered .