Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior exam the NG tube has been removed . There continues to be mild cardiomegaly and pulmonary vascular redistribution . There is patchy areas of alveolar infiltrate and volume loss in both lower lungs . Compared to the prior study the fluid status is slightly worse .
    OUTPUT:
    
slightly worse appearance of the lungs