Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Opacification of the right mid and lower lung has worsened , however there is slight clearing of the apex . This could be due to redistribution of the moderate to large right pleural effusion . Gastric congestion in the left lung has worsened . There is no pneumothorax . Multiple surgical clips project over the mediastinum . The left internal jugular central venous catheter is in stable position in the mid SVC . Right PICC is also unchanged in the low SVC . Median sternotomy wires appear intact .
    OUTPUT:
    
1 . Redistribution of moderate to large layering right pleural effusion which is likely overall unchanged . 2 . Worsening vascular congestion in the left lung .