Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is bilateral lower lobe volume loss with alveolar infiltrates in the lower lobes . There is pulmonary vascular redistribution with hazy buys bilateral vasculature . The heart size is mildly enlarged . There bilateral pleural effusions are small . The right IJ line tip is in the SVC .
    OUTPUT:
    
Worsened fluid status . An underlying infectious infiltrate can not be excluded .