Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval worsening of the bilateral upper lobe infiltrates . continued infiltrates iare seen in bilateral lower lobes that appear similar or slightly improved compared to prior .right midlung infiltrate is slightly improved . Heart size continues to be moderately enlarged .
    OUTPUT:
    
Changing appearance of infiltrates that are worse particularly in the upper lobes .