Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Worsening right lower lobe consolidation and small pleural effusion . Probable small left pleural effusion . Significant interval improvement in bilateral pulmonary edema . Cardiac size is enlarged but unchanged . No pneumothorax . Severe degenerative joint disease of the right shoulder noted . Interval removal of ET tube . Valve prosthesis in place .
    OUTPUT:
    
Worsening right lower lobe consolidation and right pleural effusion . Substantial improvement in pulmonary edema bilaterally .