Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided central line with tip in the right atrium is unchanged . NG tube is in visualized in the stomach . Right - sided pigtail catheter is again visualized . There is a small right effusion layering posteriorly . This is increased in size compared to the study from 2 days prior . There is pulmonary vascular redistribution and volume loss / infiltrates in both lower lungs .
    OUTPUT:
    
compared to the prior exam , the infiltrates in the lower lobes have increased and the fluid status appears slightly worsened