Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with ___ , the monitoring and support devices are unchanged in standard position . Continued mild enlargement of the cardiac silhouette with mild increase in pulmonary vascular congestion , right greater than left . There is also new opacification in the right middle lobe , could represent edema or consolidation . Retrocardiac opacification again is consistent with left lower lobe collapse with small pleural effusion .
    OUTPUT:
    
Mild pulmonary vascular congestion has worsened . Asymmetric ill - defined opacity in the right middle lobe , could represent new pneumonia / atelectasis . Persistent left lower lobe collapse and small left pleural effusion .