Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided chest tube is been removed . There is a new left mid lung infiltrate . There continues to be dense right lower lobe infiltrate and volume loss with associated effusion . There is a small left effusion . There is mild pulmonary vascular congestion . The cardiac size continues to be moderately enlarged
    OUTPUT:
    
Worsened appearance to the chest with new focal infiltrate in the left midlung