Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube , NG tube and right pleural tube are in unchanged satisfactory position . Worsening heterogeneous opacity in the right lower lung are likely related to worsening pneumonia and enlarging pleural effusion . Left pleural effusion also larger since yesterday . Pulmonary vascular congestion in the bilateral upper lungs worse since yesterday . No change in cardiomediastinal silhouette . No pneumothorax .
    OUTPUT:
    
1 . Right lower lung heterogeneous opacity worsened since yesterday likely due to worsening pneumonia and increasing pleural effusion . 2 . Increased pulmonary vascular congestion since yesterday . Telephone notification to Dr . ___ By Dr . ___ at 10 :00 on ___