Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval endotracheal intubation with the tip terminating 5 .2 cm cranial to the carina in standard position . A large bore right internal jugular central venous catheter remains with the tip positioned in the right atrium . Cardiomediastinal silhouette and hilar contours are unchanged . There is mild central vascular congestion without frank interstitial edema . Reticulonodular opacities throughout all right lung fields have intervally increased with associated small right - sided pleural effusion . The left lung remains essentially clear . There is no pneumothorax .
    OUTPUT:
    
Interval worsening of right - sided multifocal pneumonia with small pleural effusion .