Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged . There are bilateral pleural effusions left greater than right . There is bilateral lower lobe volume loss . There is vascular redistribution and patchy areas of increased alveolar infiltrate .
    OUTPUT:
    
Compared to the prior study . The pulmonary status appears worse . this may be due to pulmonary edema and lower lobe volume loss however an underlying infectious infiltrate in the lower lobes ca n't be excluded .