Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval worsening appearance to the chest . The right - sided effusion layers posteriorly despite the right - sided pigtail catheter being in place . There is also central consolidation in the right mid lung . The heart is moderately enlarged . There is vascular engorgement . There is dense retrocardiac opacity consistent volume loss / effusion / infiltrate in the left lower lobe .
    OUTPUT:
    
Worsened appearance to the chest