Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant change in the ET tube . No change in the PICC line . There is increased bilateral alveolar infiltrates right greater than left with near complete opacification of the right lower lobe MR ___ opacification in the right upper lobe and left lower lobe .
    OUTPUT:
    
Acute on top of chronic lung changes . Some of this could be due to layering effusion on the right but worsening infiltrate / fluid overload is also possible