Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in the left effusion which is now moderate in size . The left lower lobe can not be assessed secondary to this effusion . There is hazy alveolar infiltrate in the right lower lung in the left mid lung that could be due to fluid overload . The appearance of the heart mediastinum and lung clips are unchanged
    OUTPUT:
    
Worsened pulmonary status . While some of this may be due to fluid overload , an underlying infectious infiltrate can not be excluded .