Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increase cardiomegaly and mild pulmonary vascular redistribution . There is hazy alveolar infiltrate . Most marked on the right . There is a right effusion layering posteriorly that is increased in the interval . There is bilateral lower lobe volume loss . Right chest tube is again visualized .ventriculoperitoneal shunt tubing is again visualized
    OUTPUT:
    
Worsened appearance to the right lung the