Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided chest tube has been removed . No pneumothorax is visualized . Lung volumes are low and there is continued / increased infiltrate in the left upper lung . There continues to be retrocardiac opacity and a layering left effusion . Vascular plethora and patchy areas of alveolar edema are also seen on the right . The ET tube is 4 .3 cm above the carina . The NG tube is in the stomach .
    OUTPUT:
    
Markedly worsened appearance of the left upper lung .