Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 5 .3 cm above the carina within the mid thoracic trachea . There is a left chest Port - A - Cath with distal tip overlying the mid SVC . A right chest cardiac device with associated single lead appears in grossly appropriate configuration . An enteric tube courses inferiorly with distal tip projecting below the lower limit of the radiograph . The cardiac silhouette is mildly enlarged . There are diffuse , bilateral nearly confluent multifocal airspace opacities . There is likely a small to moderate left pleural effusion . There may be a trace / small right pleural effusion . There is no pneumothorax .
    OUTPUT:
    
1 . Diffuse bilateral nearly confluent multifocal airspace opacities are consistent with multifocal pneumonia and / or superimposed multifocal metastases . 2 . Small to moderate left and trace right pleural effusion . 3 . Endotracheal tube , left chest Port - A - Cath , and enteric tube in satisfactory position .