Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are calcified pleural plaques and diaphragmatic calcification . There are bilateral lower lobe infiltrates that are worsened compared to the study from the prior day . Heart size continues to be mildly enlarged . Right - sided PICC line tip is at the cavoatrial junction . feeding tube tip is off the film , at least in the stomach .
    OUTPUT:
    
Worsened appearance in both lower lobes .