Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is moderate cardiomegaly , volume loss in the left lower lobe and left pleural effusion . There is increased opacity in the left lower lung compared to the prior study , compatible with an alveolar infiltrate . There is mild pulmonary vascular redistribution . The extreme right CP angle is off the film .
    OUTPUT:
    
Worsened appearance to left lower lobe .