Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A newly placed nasogastric tube terminates in the distal stomach . The right IJ central venous catheter and an ET tube are unchanged in position . The bilateral lung apices have been excluded from the field of view , limiting assessment for pneumothorax . Severe bilateral airspace opacities are unchanged . A small layering right pleural effusion is not appreciably changed .
    OUTPUT:
    
NG tube ends in distal stomach . Remaining lines and tubes in satisfactory position . Right lower lobe pneumonia with stable severe bilateral airspace opacities , which may be due to pulmonary edema or hemorrhage . Moderate layering right pleural effusion not appreciably changed .