Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is at least moderately enlarged . A left pacer remains in place with leads in the right atrium and right ventricle . An endotracheal tube is in appropriate position with the tip projecting 5 cm cranial to the carina . A right internal jugular central venous catheter is in place with the tip terminating in the mid SVC . Bilateral scattered opacities are worse compared to ___ with left greater than right pleural effusions .
    OUTPUT:
    
Interval increase in scattered bilateral opacities with left greater than right pleural effusions .