Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a right - sided central venous catheter which terminates in the right atrium . The heart is severely enlarged . There is pulmonary vascular redistribution . There are bilateral lower lobe infiltrates and small bilateral pleural effusions . There are patchy areas of alveolar opacity in the right mid and upper lung .
    OUTPUT:
    
Worsened CHF . An infectious infiltrate , particularly on the right can not be exclude .