Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new moderate left pleural effusion . There is obscuration of the left hemidiaphragm compatible with the a effusion with associated volume loss / infiltrate . There is volume loss in the right lower lobe . There is pulmonary vascular redistribution with ill - defined vasculature compatible with fluid overload . The right - sided PICC line with tip in the mid SVC is unchanged
    OUTPUT:
    
Increased effusion on the left and increased fluid overload .