Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . There is pulmonary vascular redistribution with ill - defined vascularity . There is a small left and very small right effusion . There is retrocardiac opacity compatible with volume loss / infiltrate / effusion . This right - sided PICC line with tip in the mid SVC
    OUTPUT:
    
CHF , worsened compared to ___ . An underlying infection on the left can not be excluded