Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is upper limits normal in size but there is pulmonary vascular redistribution . An ill - defined vasculature . There small bilateral pleural effusions . The alveolar infiltrate in the left mid lung is again seen . However there patchy areas of alveolar infiltrate on the right . The pacemaker is unchanged
    OUTPUT:
    
Worsened appearance to the lungs . It is unclear how much of this is pulmonary edema or if the alveolar infiltrates are due to infection .