Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since 1 day prior , there has been interval removal of an endotracheal tube and an enteric tube . A loculated right pleural effusion has increased in size . Moderate cardiomegaly is unchanged . Bilateral parenchymal opacities are essentially unchanged and may reflect pulmonary edema or multifocal infection . No pneumothorax . A right - sided PICC terminates in the mid SVC .
    OUTPUT:
    
Increased , moderate , loculated right pleural effusion . Essentially unchanged diffuse parenchymal opacities may reflect pulmonary edema or multifocal pneumonia .