Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is confluent , left greater than right , pulmonary fibrosis which is most prominent in the left upper lobe . Findings have progressed since ___ with increased left upper lobe heterogeneous pulmonary markings . There is new tenting of the left hemidiaphragm , suggesting left lung volume loss . Bilateral loculated pleural effusions have increased , now moderate in size with increased left upper lung subpleural opacity . Heart size is stable . Left PICC has been removed .
    OUTPUT:
    
Confluent , left greater than right , pulmonary fibrosis , progressed since ___ with increased left upper lobe heterogeneous pulmonary markings . Findings are consistent with worsening fibrotic disease with probable superimposed infection or , less likely , pulmonary edema . Increased loculated pleural effusion , now moderate in size , especially on the left .