Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided pigtail chest tube is again visualized . There is increased volume loss in the right lower lobe with layering effusion . There is also volume loss / effusion in the left lower lung . That similar compared to prior . There is increased pulmonary vascular congestion pulmonary vascular redistribution and a minimal hazy alveolar infiltrate
    OUTPUT:
    
Worsened fluid status . An underlying infectious infiltrate in the left lower lobe can not be totally excluded