Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Please note , this study is being interpreted on ___ . Is unclear why there was a delay in reading of this film for interpretation . The cardiac silhouette is mildly enlarged , larger than on the prior study . There small bilateral pleural effusions that are larger than on the prior exam . There is volume loss at both bases , and the underlying infectious infiltrate can not be excluded and either lower lung . There is also an area of patchy alveolar infiltrate in the right upper lung . There is mild pulmonary vascular redistribution .
    OUTPUT:
    
CHF . There are also areas of volume loss / infiltrate in both lower lungs that have increased compared to prior . An infectious infiltrate can not be excluded