Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of an endotracheal tube , the tip terminates 2 .3 cm above the level the carina . Again seen are patchy bilateral airspace opacities in a predominately perihilar distribution consistent with pulmonary edema , infection can not be excluded . The extent of parenchymal changes similar when compared to the prior study . No definite effusion seen . A right internal jugular catheter terminates in the mid SVC . An nasogastric tube terminates below the left hemidiaphragm . The tip is not visualized on this study . Degenerative changes in the bilateral shoulder joints .
    OUTPUT:
    
No significant interval change status post intubation .