Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube and left - sided PICC line are unchanged . There is worsening appearance of the lungs with increased ill - defined vasculature and increased alveolar infiltrates left greater than right . There is dense retrocardiac opacity . The heart is moderately enlarged . There is bilateral pleural effusions .
    OUTPUT:
    
Worsened fluid status . An underlying infectious infiltrate ca n't be excluded