Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is appropriately positioned 2 .7 cm above the carina . Nasogastric tube courses below the diaphragm into the stomach . There is no significant change in the appearance of the lungs since the recent prior radiograph , however there is significant worsening since ___ . Patient has chronic interstitial lung disease . Severe bilateral pulmonary opacities and obscuration of the hemidiaphragms are unchanged concerning for bilateral consolidations with pulmonary edema . There is no pneumothorax .
    OUTPUT:
    
1 . Endotracheal tube and nasogastric tube appropriately positioned . 2 . Severe bilateral pulmonary opacities concerning may be due to pulmonary edema , however acute exacerbation of interstitial lung disease should also be considered .