Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is deformity of the right chest wall the heart is moderately enlarged and is larger than on the prior study . There is pulmonary vascular redistribution and patchy areas of early alveolar infiltrates appear increased compared to prior . There are small bilateral pleural effusions . No focal areas of alveolar infiltrate most marked in the lower lobes .
    OUTPUT:
    
Fluid overload . An underlying infectious infiltrate can not be excluded .