Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is unchanged in position with the tip terminating just below the thoracic inlet . A nasogastric tube is seen coursing below the diaphragm and out of view on this image . The cardiac silhouette is top normal in size . The mediastinal contours are within normal limits . Diffuse bilateral pulmonary opacifications with predilection for the bilateral lung bases appears unchanged from the most recent prior study , likely a combination of large bilateral pleural effusions and pulmonary edema . Retrocardiac opacification is unchanged . In the appropriate clinical context , superimposed infection can not be excluded .
    OUTPUT:
    
1 . Unchanged position of support devices . 2 . Large bilateral pleural effusions and pulmonary edema . In the appropriate clinical context , superimposed infection can not be excluded .