Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in the left pleural effusion which now all completely obscures the left hemi thorax . There is vascular congestion and hazy alveolar infiltrate on the right with a layering right effusion . The Swan - Ganz catheter tip is in the main pulmonary artery . The ET tube , NG tube and pacemaker appear unchanged
    OUTPUT:
    
Marked worsening in fluid status with near complete opacification of the left hemi thorax from effusion and pulmonary edema also seen on the right