Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in the amount of left lower lobe volume loss and effusion . There is pulmonary vascular redistribution . There is a small right effusion . The heart is mildly enlarged . The ET tube and NG tube and right - sided PICC line are unchanged
    OUTPUT:
    
Increased fluid overload . An underlying infectious infiltrate , particularly on the left can not be excluded