Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe right upper and lower lobe consolidation has worsened in the lower lobe and at least moderate right pleural effusion is larger . Vascular congesion and perihilar edema in the left lung have worsened . There is no pneumothorax . Moderate cardiomegaly is stable since at least ___ .
    OUTPUT:
    
Interval worsening of severe right pneumonia and moderate right pleural effusion . Increased mild pulmonary edema . The findings were discussed with Dr . ___ at 1 : 40 pm by Dr . ___ by telephone on the day of the exam .