Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is 4 cm above the level of the carina in correct position . NG tube enters the stomach and is out of view . Right IJ tip is in upper SVC . Unchanged small bilateral pleural effusions , left greater than right . Diffuse and focal opacities with air bronchograms suggestive of a predominantly alveolar component are unchanged . Heart size , mediastinal contour and hila are normal . No pneumothorax . Coronary stents noted in the right coronary artery , left anterior descending artery , and circumflex artery .
    OUTPUT:
    
No interval change in small bilateral pleural effusions or bilateral diffuse opacities with air bronchograms suggestive of an alveolar process and likely represents ARDS .