Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Opacification through the right lung has increased . Opacification of the left lower lobe has also mildly increased . Mild pulmonary vascular congestion also increase . Heart size normal . No pneumothorax . Nasogastric tube ends in nondistended stomach . Left subclavian dialysis catheters end in the SVC . Right - sided central venous catheter ends in the right brachiocephalic vein .
    OUTPUT:
    
Likely layering right pleural effusion and multifocal pneumonia in the right lung has progressed . Mild pulmonary vascular congestion also increased . Right - sided central venous catheter ends in the right brachiocephalic vein . Nasogastric tube tube first side port in the lower esophagus and needs to be advanced .