Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube has been removed . Bilateral IJ lines are unchanged . There small bilateral effusions . There has been interval progression of the infiltrate , right greater than left there is likely also an element of pulmonary edema with moderate cardiomegaly and pulmonary vascular redistribution
    OUTPUT:
    
Worsened appearance to the lungs .