Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is marked increase in the right - sided infiltrate lower lobe greater than upper lobe with new left perihilar infiltrate as well . There small bilateral effusions right greater than left . Heart size is mildly enlarged . There is minimal pulmonary vascular redistribution .
    OUTPUT:
    
Worsened appearance of the lungs with increased bilateral infiltrates