Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is moderately enlarged . There is dense retrocardiac opacity compatible with volume loss / infiltrate / effusion . There is increased left effusion that is layering posteriorly . There is hazy bilateral vasculature compatible with fluid overload . There is a small right effusion . There is right lower lobe volume loss . Patchy areas of alveolar infiltrate are also present bilaterally . The ET tube , right - sided PICC line , and NG tube are unchanged .
    OUTPUT:
    
Multiple areas of volume loss and infiltrate superimposed on pulmonary edema .