Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of an oral gastric tube , which traverses the diaphragm . The tip of the OGT is not visualized . The ETT ends 1 .5 cm from the carina . The position of the right subclavian line appears unchanged in position . Significant interval worsening of cardiomegaly , bilateral pleural effusions , and pulmonary vascular congestion . No pneumothorax . No acute osseous abnormality .
    OUTPUT:
    
1 . Interval progression of cardiopulmonary congestion and bilateral pleural effusions . 2 . The ETT tip ends 1 .5 cm proximal to the carina . Recommend pulling back 1 - 2 cm to ensure adequate positioning . 3 . Appropriate OGT placement .