Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval worsening in bilateral pulmonary vascular engorgement and moderate pulmonary edema compared to the prior exam , right greater than left . There has also been an interval worsening in the moderate to large right sided pleural effusion . The right upper lung mass is better evaluated on CTA from ___ . An air / fluid level is seen in the right lower lobe , corresponding to the right lower lobe cavitary lesion seen on the most recent CT . The hilar and mediastinal contours appear enlarged , likely secondary to lymphadenopathy . Again seen are the right - sided pathologic rib fractures , better evaluated on CT from ___ .
    OUTPUT:
    
Interval worsening of pulmonary edema , right greater than left . Interval increase in the right - sided moderate to large pleural effusion . These findings were discussed with Dr . ___ by Dr . ___ , by telephone , on the day of the exam .