Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right pleural effusion that is increased in size . There is associated right lower lobe volume loss . An underlying infectious infiltrate ca n't be excluded . There is small left pleural effusion with associated left lower lobe volume loss . There is pulmonary vascular redistribution and moderate cardiomegaly . Sternal wires are again visualized .
    OUTPUT:
    
Increased fluid overload with increased right effusion .