Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph , the patient has been intubated . The ET tube terminates 4 .9 cm above the carina . An orogastric tube terminates within the stomach . Widespread pulmonary opacities have worsened since 1 : 18 a .m . There is no pneumothorax . Trace bilateral pleural effusions are present . The cardiac silhouette is obscured by the overlying opacities .
    OUTPUT:
    
1 ) ET tube terminating 4 .9 cm above the carina . 2 ) Orogastric tube within the stomach . 3 ) Worsening widespread pulmonary opacities , could reflect multifocal pneumonia and / or superimposed edema or ARDS .