Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ETT tube in standard placement . The two - lead cardiac device appears unchanged in position , with one lead in the lower right atrium and the other in the right ventricle . Interval placement of a feeding tube , which traverses the diaphragm and courses into the left upper quadrant . Stable bilateral lower lung volumes . Compared to the prior exam , the right hemithorax is now diffusely opacified . Interval increase in the left lower lung opacity . Small left pleural effusion . The heart is top - normal in size . Stable cardiomediastinal silhouette . No pneumothorax .
    OUTPUT:
    
1 . Progressive bilateral pneumonia since ___ am . 2 . Probable worsening underlying congestive heart failure , also since ___ am .