Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior study there is increase in the pulmonary vascular redistribution and patchy areas of alveolar infiltrate most marked in the left lower lung . There is volume loss in both lower lobes . The heart is moderately enlarged . There small bilateral pleural effusions left greater than right . The ET tube and NG tube are unchanged . .
    OUTPUT:
    
Worsened pulmonary vascular congestion .