Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: On the background of the previously described masslike lesion in the right chest and pleural changes there is no increased interstitial markings and alveolar focal infiltrates bilaterally . There is a moderate right effusion and a small left effusion
    OUTPUT:
    
Increased fluid overload . A superimposed infectious infiltrate can not be excluded . This is all superimposed on the patient 's underlying malignancy