Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in bilateral pleural effusions , hazy alveolar infiltrates , an indistinct vasculature compatible with worsened fluid overload . An underlying infectious infiltrate ca n't be excluded . Left - sided PICC line with tip in the SVC is unchanged .
    OUTPUT:
    
Worsened pulmonary status .