Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube terminates 7 .4 cm from the carina , and the enteric tube terminates at the GE junction , the should be advanced for optimal placement . Short interval development of widespread pulmonary airspace opacities , likely accentuated somewhat by low lung volumes , representing severe pulmonary edema , ARDS , widespread pneumonia , or pulmonary hemorrhage . There is no pneumothorax or pleural effusion . Allowing for differences in rotation , the cardiomediastinal contour is stable . The upper abdomen and osseous structures are unremarkable .
    OUTPUT:
    
1 . Endotracheal tube terminates 7 .4 cm carina , and the enteric tube terminates at the GE junction . Both support devices should be advanced for optimal placement . 2 . New widespread parenchymal opacities may represent severe pulmonary edema , ARDS , widespread pneumonia , or pulmonary hemorrhage , depending on the clinical circumstances .