Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a left internal jugular approach central venous catheter , with tip terminating in the left brachiocephalic vein . There is no pneumothorax . Enteric tube is present with distal tip not captured on the current study . The cardiomediastinal and hilar contours are stable . A small left pleural effusion is likely . Massive bilateral airspace opacities appear slightly worsened . There has been interval development of a new left retrocardiac opacity with obliteration of left hemidiaphragm , consistent with left lower lobe collapse . Healed fractures of right posterior ribs 5 and 6 are noted .
    OUTPUT:
    
1 . Left internal jugular line with tip in the left brachiocephalic vein . No pneumothorax . 2 . Interval worsening of bilateral multifocal airspace opacities . Differential is unchanged and includes severe pulmonary edema , ARDS , and severe multifocal infection . 3 . Interval development of left lower lobe collapse with likely small left pleural effusion .