Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs performed earlier on same day on ___ at 07 : 52 , there is an interval worsening of pulmonary vascular congestion , as well as a right pleural effusion , possibly due to aggressive hydration . The left apical region is again difficult to assess but no definite pneumothorax is appreciated . Multiple pulmonary nodules are better evaluated on CT on ___ . There are postsurgical changes in the left hemithorax with chest tube in place . Again seen is subcutaneous air in the left chest wall .
    OUTPUT:
    
Interval increase in vascular congestion and a right - sided pleural effusion , possibly secondary to aggressive hydration . No definite pneumothorax .