Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased bilateral lower lobe volume loss compared to the recent prior exam . There are new bilateral lower lobe opacities right greater than left . In addition the heart is moderately enlarged and there is pulmonary vascular redistribution with increased interstitial markings there tiny bilateral pleural effusions . Again noted arm multiple calcified granulomas
    OUTPUT:
    
1 . CHF . 2 . Lower lobe infiltrates right greater than left . These could be due to compressive changes aspiration and / or infection