Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ , interval increase in right lower lobe and right upper lobe nodular airspace opacities . There is probable small bilateral effusions . Moderate cardiomegaly persists . No pneumothorax . Left - sided PICC terminates in the low SVC .
    OUTPUT:
    
Interval worsening of the airspace consolidation involving the right lung , may reflect secondary atypical infection including viral or fungal to the known Nocardia infection .