Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from 1 day prior , interval worsening of the perihilar opacities with a upper lobe predominance . Small left effusion and probable right . Moderate cardiomegaly . No pneumothorax . Left - sided PICC line is 8 cm below the carina and within the right atrium . Endotracheal tube is 2 cm from the carina and nasogastric tube is in good position .
    OUTPUT:
    
Interval worsening of the perihilar opacities , rapid worsening favors superimposed edema however , worsening infection can also be considered given upper lobe distribution . Repeat chest radiographs after dieresis could be considered .