Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is interval increase in that size of the cardiac silhouette . There is pulmonary vascular redistribution with hazy bilateral vascularity and bilateral effusions moderate on the right small on the left the parenchymal opacities bilaterally right greater than left the pacemaker , ET tube , right - sided PICC line , and NG tube are unchanged
    OUTPUT:
    
Worsened CHF . An underlying infectious infiltrate ca n't be excluded .