Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant change in dialysis catheter with tip terminating in the cavoatrial junction . The lungs are hypoinflated with crowding of vasculature . Interval increase in bilateral heterogeneous opacities with blunting of both costophrenic angles and new heterogeneous opacification in both lower lobes . Limited assessment of the heart size demonstrates mild cardiomegaly . Mediastinal contour and hila are otherwise unremarkable .
    OUTPUT:
    
1 . Possible bilateral lower lobe pneumonia and small pleural effusions are new since ___ . 2 . Interval increase in right pleural effusion .