Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly and enlargement of the main pulmonary artery are stable . There is bilateral lower lobe volume loss and infiltrate , slightly increased compared to prior . Right upper lobe consolidation is also slightly increased . Large . Tracheostomy tube is in standard position . Left PICC tip is in the upper SVC . There is no pneumothorax . Are probable small bilateral pleural effusions .
    OUTPUT:
    
Slightly worse appearance to the chest