Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated . The endotracheal tube terminates about 3 .5 cm above the carina . A right internal jugular introducer catheter terminates in the lower superior vena cava . An orogastric tube terminates in the stomach . Endovascular aortic valve prosthesis is noted . The cardiac , mediastinal and hilar contours appear unchanged . There is probably a small pleural effusion with atelectasis on the left . Small right - sided pleural effusion is no longer conspicuous . Although a right upper lobe opacity is substantially less than distinct than before , there is moderate , somewhat increased diffuse predominantly central opacification suggesting worsening pulmonary edema . The bones appear demineralized with multiple incompletely characterized compression deformities since sites of prior vertebroplasty .
    OUTPUT:
    
Status post endotracheal intubation . Findings consistent with moderate to severe pulmonary edema . Improvement in focal right upper lobe opacity which may support that the differential of recent chemical aspiration pneumonitis in the appropriate clinical circumstances .