Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been intubated in the interim with the ETT tip approximately 4 cm from the carina , in standard position . The right internal jugular venous catheter tip projects over the expected region of the upper SVC . Since the prior exam , bilateral parenchymal airspace opacities have worsened , particularly in the right lung which could be edema and / or infection . Several areas of more nodular parenchymal opacities particularly in the right lung as well as the left lower lung are concerning for concurrent multifocal pneumonia . No pleural effusion or pneumothorax . The heart is enlarged . The mediastinum is not widened . Median sternotomy wires appear intact . An enteric tube traverses the hemidiaphragm into the left upper quadrant and its tip is not visualized but the side port is within the stomach .
    OUTPUT:
    
1 . ETT in standard position . 2 . Rapid interval progression of bilateral parenchymal opacities in the last couple of hours suggests a component of edema as well as multifocal pneumonia . 3 . Cardiomegaly .