Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is obscuration of the left hemidiaphragm compatible with increased volume loss / effusion / infiltrate . There is also increased volume loss / infiltrate in the right lower lung . Right IJ line tip is at the cavoatrial junction . ET tube tip is 2 .5 cm above the carina . There is some increased volume loss / infiltrate in the left upper lung centrally as well .
    OUTPUT:
    
Worsening appearance to the lungs bilaterally , left greater than right .