Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new near complete opacification of the left hemithorax compatible with a large left effusion layering posteriorly . There is associated volume loss given that the heart is shifted to the left side of the chest . The right lung demonstrates pulmonary vascular redistribution and hazy alveolar infiltrates most marked in the mid and lower lung . Right - sided PICC line with tip in SVC is unchanged . The ET tube and NG tube are unchanged .
    OUTPUT:
    
Markedly worsened pulmonary status with large amount of volume loss and effusion involving the left hemithorax .