Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is the dense right lower lobe and right middle lobe infiltrates . There is new right pleural effusion . There is pulmonary vascular redistribution and patchy area of alveolar infiltrate in the left lower lobe . ET tube and NG tube are unchanged .
    OUTPUT:
    
Worsened infiltrates in the right lower lobe and right middle lobe with new right effusion .