Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is worsening airspace opacity in the lingula and left lower lobe when compared to the prior examination , and left pleural effusion . Right chest tube remains in place and there is no evidence of pneumothorax . The blunting of the right costophrenic angle is a small pleural effusion . The heart remains enlarged . Interval marked decrease of the gastric bubble .
    OUTPUT:
    
There is worsening airspace opacity in the lingula and left lower lobe when compared to the prior examination , this can be worsened pneumonia or atelectasis accompanied by increasing moderate left pleural effusion .