Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube ends approximately 3 .7 cm above the carina and is adequately placed . Right internal jugular line terminates at lower SVC . Bilateral , airspace opacities predominantly in lower lobes have increased since ___ . Differential diagnosis includes pulmonary edema or aspiration . Bilateral mild - to - moderate pleural effusions have worsened since ___ . Mediastinal contour is stable . Asssessment of heart size was limited due to lung opacities obscuring it margins . Enteric feeding tube is seen to course below the diaphragm into the stomach ; however , the distal end is beyond the field of view .
    OUTPUT:
    
Bilateral , lower lobe predominant airspace opacities , likely edema / aspiration and bilateral mild - to - moderate pleural effusions have worsened over last 24 hours .