Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated . The tip of the endotracheal tube terminates approximately 2 cm above the level the carina . A nasoenteric tube is in - situ , the tip is not visualized lies below the left hemidiaphragm . A tunneled right internal jugular dialysis catheter terminates in the right atrium . A right internal jugular vascular access catheter terminates in the SVC . There are persistent bilateral opacities predominately perihilar distribution consistent pulmonary edema . Prominence of the pulmonary vasculature persists . Unchanged left lower lobe atelectasis . An apparent opacity in the left upper lobe is also unchanged compared to the prior study but new compared earlier studies . This is not clearly seen to be on the patient 's skin and would be better evaluated with a CT of the chest .
    OUTPUT:
    
Stable appearances of pulmonary vascular congestion and pulmonary edema . An apparent more confluent masslike opacity is seen in the left upper lobe , attention on follow - up studies recommended . Alternatively this may be further evaluated with a CT chest .