Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is still slightly low , 2 .4 cm above the carina . NGT tip is in the stomach . There is mild pulmonary vascular redistribution . There are bilateral lower lobe infiltrates left greater than right . There is a left pleural effusion . This volume loss in the left lower lobe .
    OUTPUT:
    
Compared to the prior study the appearance of the lungs is much worse , in particular with left greater than right lower lobe infiltrate