Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the ET tube . Mediastinal drains are still in place . Swan - Ganz catheter has been removed . There is dense consolidation in the left lower lobe . The heart size continues to be moderately enlarged . There is right lower lobe volume loss , which is increased compared to the prior . There continues to be some pulmonary vascular redistribution and alveolar infiltrate involving the upper lobes . Mitral valve replacement is again seen .
    OUTPUT:
    
Increased volume loss / infiltrate in both lower lobes .