Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in the right pleural effusion is layering posteriorly . There content there continues to be dense retrocardiac opacification that has increased in the interval . There is probably a small left effusion as well . NG tube tip is off the film , at least in the stomach . The ET tube tip is 5 .4 cm above the carina hardware overlying the cervical spine is again visualized . Right - sided PICC line tip is at the cavoatrial junction
    OUTPUT:
    
Worsened fluid status .