Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased bilateral pleural effusions that are now moderate in size . There is pulmonary vascular redistribution and hazy alveolar infiltrates bilaterally lower lobe greater than upper lobe . There is obscuration of both hemidiaphragms compatible with volume loss / infiltrate / effusion .
    OUTPUT:
    
Worsened appearance to the lungs . While much of this could be due to at fluid overload , a during n underlying infectious infiltrate can not be excluded