Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is persistently rotated to the right obscuring some of the right lower lobe , with apparent mediastinal shift to the right . However the similar compared to prior . There is vascular engorgement with alveolar infiltrate diffusely on the left and patchy on the right that has increased compared to the study from the prior day . There are small bilateral pleural effusions , right greater than left . Moderate cardiomegaly is chronic . No pneumothorax . ET tube , nasogastric tube , and left internal jugular line are in standard placements respectively .
    OUTPUT:
    
Increased pulmonary edema . An underlying infectious infiltrate ca n't be exclude