Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates 3 cm above the carinal and a nasogastric tube is coiled in the proximal stomach with tip directed cephalad in the fundus . Lung volumes are low . Cardiac silhouette is partially obscured on the left but likely mildly enlarged . Widening of mediastinal and hilar contours could reflect vascular engorgement or lymph node enlargement . Asymmetrically distributed bilateral airspace opacities involve the left lung more than the right . In the right lung , consolidation is most prominent in the right upper lung above the minor fissure . These findings are superimposed upon a bilateral interstitial pattern .
    OUTPUT:
    
Asymmetrically distributed multifocal consolidation may reflect multifocal pneumonia with or without a component of pulmonary edema in this patient with history of underlying IPF . Mediastinal and hilar widening may reflect engorged vessels and or lymphadenopathy . Direct comparison to outside studies would be helpful as well as short - term followup radiographs peer