Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Exact positioning of the carina is difficult to identify , however the endotracheal tube tip projects approximately 5 .5 cm cephalad to the carina . There is a nasogastric tube extending below the diaphragm . There is a right IJ central catheter with tip in the lower superior vena cava . There are unchanged peripheral bilateral airspace opacities with areas of with worsening or right midlung and right lower lung opacification . Right costophrenic angle blunting is mildly increased . Cardiomediastinal silhouette is within normal limits . Pulmonary vasculature is within normal limits . There is no pneumothorax .
    OUTPUT:
    
1 . Persistent multifocal bilateral airspace opacities consistent with multifocal pneumonia . Slight worsening in left mid and lower lung . 2 . Slightly increased size of right pleural effusion .