Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , patient has been extubated , and there are lower lung volumes . Bibasilar opacities have increased , likely reflecting a combination of pleural effusion and atelectasis . However , an underlying early infectious process can not be excluded . Right IJ central venous catheter tip lies at the level of the cavoatrial junction . Nasogastric tube extends into the gastric fundus .
    OUTPUT:
    
Worsening bibasilar opacities which likely reflect a combination of pleural fluid and volume loss . However , in the appropriate clinical setting , an underlying early infectious process can not be excluded .