Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube is 2 .5 cm above the Carina . The NG tube tip is in the stomach . Right - sided PICC line tip is at the cavoatrial junction . There is dense retrocardiac opacity compatible with volume loss / infiltrate / effusion . There is increased hazy vasculature on the left . There is a more focal area of consolidation in the left mid lung . Old rib fractures are again noted on the right .
    OUTPUT:
    
Worsened appearance of the left lung . It is unclear how much of this is due to fluid overload or if there is an underlying infectious infiltrate .