Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged and is larger than on the prior exam . There is pulmonary vascular redistribution and bilateral hazy alveolar infiltrate right greater than left . There are small to moderate bilateral pleural effusions . There is dense retrocardiac opacity compatible with volume loss / effusion / infiltrate . The ET tube , NG tube , left IJ line are unchanged
    OUTPUT:
    
Worsened fluid status . An underlying infectious infiltrate can not be excluded .