Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in the right - sided pleural effusion that is now layering posteriorly and causing hazy opacity projecting over the entire right lung . There has also been interval increase in the left effusion . There is associated bilateral volume loss and alveolar infiltrates . There is ill - defined vasculature . The appearance of the lines and tubes are unchanged .
    OUTPUT:
    
worsening of CHF .