Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with most recent prior radiographs , there has been worsening of bilateral pleural effusions and right greater than left parenchymal opacities which likely represents worsening congestion ; although , hemorrhage or contusion could have a similar appearance and with the appropriate clinical symptoms , superimposed pneumonia is also possible . The cardiomediastinal silhouette is unchanged . No pneumothorax
    OUTPUT:
    
Worsening right greater than left parenchymal opacity likely represents worsening congestion ; however , hemorrhage or contusion could have similar appearance and with the appropriate clinical symptoms , superimposed pneumonia is also possible .