Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC line tip is in the upper SVC . There is increased dense opacity in the right lower lobe , compatible with worsening infiltrate . There is increased volume loss in left lower lobe that could represent infiltrate or volume loss . There also patchy areas of infiltrate in the upper lobes . The spinal fixation device , a ET tube , NG tube are unchanged
    OUTPUT:
    
Worsening appearance to the lungs with worsening infiltrates most marked in the right lower lobe