Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is interval increase in the alveolar infiltrates left greater than right with pulmonary vascular redistribution and moderate cardiomegaly . There bilateral pleural effusions left greater than right . The right IJ line is unchanged with the tip at the cavoatrial junction .
    OUTPUT:
    
Overall the appearance of the lungs is worsened compared to prior . While this could be due to an atypical asymmetric pulmonary edema , an underlying infectious infiltrate can not be excluded