Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube , right PICC line , and NG tube are unchanged . There are moderate bilateral pleural effusions that have increased in size . There is bilateral lower lobe volume loss / infiltrate that is also worsened in appearance there is mild pulmonary vascular redistribution .
    OUTPUT:
    
Fluid overload . An underlying infectious infiltrate can not be excluded .