Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . Tracheostomy tube again noted . There is diffuse interstitial can alveolar edema , with moderate to moderately large left and small right effusions and underlying collapse and / or consolidation . Compared to the film from one day earlier , the appearances are overall similar . The CHF findings may be very slightly worse and the left effusion is probably slightly larger .
    OUTPUT:
    
CHF with bilateral left - greater - than - right effusions and underlying collapse and / or consolidation . The possibility of an underlying infectious infiltrate can not be excluded .