Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There increased bilateral infiltrates with near complete opacification of the right lung and patchy opacity of the left lower lobe both hemidiaphragms are obscured likely secondary to effusion / volume loss / infiltrate there is no pneumothorax . The tracheostomy and NG tube are unchanged
    OUTPUT:
    
Dramatically worsened appearance to the chest with bilateral infiltrates right greater than left .