Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET and NG tube are nominal in position . Cardiomegaly could be slightly more pronounced . Again seen are bilateral right greater left effusions with underlying collapse and / or consolidation . Also again seen is CHF , with upper zone redistribution , vascular plethora and probable vascular blurring . On today 's exam , there is increased obscuration of the right hemidiaphragm , which could reflect increased collapse / consolidation at the right base . Biapical pleural scarring , with surface calcification again noted . There is also nearby vascular calcification .
    OUTPUT:
    
Question interval increase in degree of cardiomegaly . CHF and bilateral effusions again seen . Bibasilar collapse and / or consolidation . This is likely worse on the right , where the right hemidiaphragm is now obscured .