Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in place and unchanged in position , terminating 3 .3 cm above the level the carina . A nasogastric tube is now also in place , terminating in the fundus of the stomach . Since the prior study , there has been interval development of bilateral lower lobe consolidations , concerning for aspiration or pneumonia . The lung volumes remain somewhat low , with persistent mild pulmonary edema . The heart size is unchanged . There is no pneumothorax . Blunting of the bilateral costophrenic angles likely reflects small bilateral pleural effusions .
    OUTPUT:
    
1 . Interval development of bilateral lower lobe consolidations since the prior study , concerning for aspiration , pneumonia , or pulmonary hemorrhage in the appropriate clinical setting . 2 . Likely small bilateral pleural effusions .