Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is again visualized . The heart continues to be moderate to severely enlarged . There is a moderate left pleural effusion that is slightly increased in size compared to prior . There is decreased alveolar infiltrate on the right with improved aeration in the right lower lobe with some residual areas of volume loss .
    OUTPUT:
    
Slightly worsened appearance on the left and improved appearance on the right .