Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right IJ Cordis is unchanged . Massive cardiomegaly is again seen . There is elevated right hemidiaphragm right lower lobe infiltrate and right pleural effusion that is increased compared to the prior study . There is also small left effusion and volume loss in the left lower lobe there is mild pulmonary vascular redistribution
    OUTPUT:
    
Worsened pulmonary edema . An underlying infectious infiltrate , particularly on the right can not be excluded