Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Previously noted right mid lower lung opacities have improved in comparison to the prior study . There is however new increased opacification of the left lower lung suggesting a combination of pleural effusion as well as likely parenchymal opacity . Cardiac silhouette appears unchanged otherwise . A right PICC is noted with its tip in the upper SVC
    OUTPUT:
    
Interval improvement in right mid and lower lung opacities with interval worsening of left lower lung opacities suggesting a combination of pleural effusion as well as parenchymal left lower lobe opacity .