Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Dobbhoff catheter tip is in the stomach . Tracheostomy tube and right IJ line are unchanged . There are increased bilateral lower lobe infiltrates with volume loss in both lower lobes and small bilateral effusions . There is pulmonary vascular redistribution .
    OUTPUT:
    
Worsened fluid status . An underlying infectious infiltrate in the lower lobes ca n't be excluded .