Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As on the prior study there is a large right effusion and volume loss in the right lower lobe . On the prior exam there was a small amount of opacity in the retrocardiac region . This is now more confluent and is more suspicious for an infectious infiltrate . The upper lobes are relatively clear . The right IJ line is unchanged .
    OUTPUT:
    
Increased left lower lobe infiltrate . No change in large right effusion .