Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sclerotic bones , splenic granulomas , vascular stents , and moderate cardiomegaly are again visualized . There is dense retrocardiac opacification compatible with volume loss / infiltrate / effusion . There is also an infiltrate of right lower lobe partially obscuring the right hemidiaphragm . Other patchy alveolar infiltrates are seen in the right upper lobe and left mid lung . Overall the appearance is worsened compared to prior
    OUTPUT:
    
New bilateral lower lobe volume loss . / infiltrate . Infection is of concern