Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is severely enlarged and is larger than on the prior study . There is pulmonary vascular redistribution with bilateral hazy alveolar infiltrate . There small bilateral effusions appear it is unclear if the pulmonary findings are all due to pulmonary edema or if there is an underlying infectious infiltrate .
    OUTPUT:
    
Marked worsening 2 the appearance of the lungs . It is unclear if this is all due to pulmonary edema or if an underlying infectious infiltrate is present .