Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is unchanged . The mediastinal and hilar contours are normal . The pulmonary vasculature is mildly congested with mild pulmonary edema . Bilateral effusions are larger and the right lower lobe is probably collapsed . Consolidation in the right upper lung is similar to 2 days ago . Consolidation of the left lung has progressed significantly from 2 days ago an is now diffuse and overall slightly worse than the right side . No pneumothorax . Lines and tubes : ET tube tip is approximately 2 .4 cm above the carina . Left IJ venous line tip is in the lower SVC . NG tube and esophageal probe positions and tip locations are not significantly changed .
    OUTPUT:
    
1 . Multi focal pneumonia has progressed to the left upper lobe . 2 . Bilateral effusions are larger , probably contributing to right lower lobe collapse .