Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size continues to be moderately enlarged with prominence to the central vascularity . There is increased bilateral lower lobe opacity compatible with volume loss / infiltrate . There is less vascular plethora than on the study from the prior day .
    OUTPUT:
    
Bilateral lower lobe opacities / infiltrates that have worsened in the interval .