Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET and NG tubes have been removed . Again seen is a right - sided chest tube , similar in position . No obvious pneumothorax detected allowing , for lordotic positioning . Compared to the prior study , there does appear to be more extensive opacification of the right mid zone , in addition to the previous seen right base opacity . Air bronchograms are seen and the right hemidiaphragm is obscured . This likely represents combination of collapse and / or consolidation involving the right mid and lower zones . In addition , there is interval increase in opacity in the left mid and lower zones , with new obscuration of the left left hemidiaphragm and new opacity in the lung in the infrahilar region . Presence of bilateral pleural effusions can not be excluded . There is upper zone redistribution and mild diffuse vascular plethora slightly increased , suggesting some interval increase in CHF . The previously seen right lower chest posterior rib fracture is obscured of the lung opacities .
    OUTPUT:
    
Increased opacity of the right and left mid and lower zones , more extensive than on the film from 1 day earlier . The appearance is compatible with collapse and / or consolidation bilaterally . Bilateral effusions would be difficult to exclude . Mild vascular plethora is also increased , suggesting interval increase in CHF . Right chest tube is similar in position . No pneumothorax detected , allowing for lordotic positioning .