Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable AP view of the chest was obtained . Endotracheal tube terminates approximately 2 .5 cm above the carina . Right IJ central venous catheter is in the mid SVC . The tip of the enteric tube is just beyond the GE junction and needs to be advanced . Pacemaker leads are appropriately positioned in the right atrium and right ventricle . There are dense diffuse bilateral interstitial and probably also alveolar opacities , including some denser opacities along the right chest wall . The appearance in the right chest may also reflct a moderate layering right effusion is present . The possibility of a small left effusion can not be excluded . The cardiomediastinal borders are obscured by the pulomary opacities , but appears moderately enlarged .
    OUTPUT:
    
1 . Moderate cardiomegally . 2 . Dense diffuse bilateral opacities . The differential diagnosis includes pulmonary interstitial edema . However , in the appropriate clinical setting , severe atypical pneumonia and inflammatory causes of infiltrates are also in the differential . Pulmonary hemorrhage is also in the differential , in the appropriate context . 3 . Suspected moderate right pleural effusion . 4 . Endotracheal tube is appropriately positioned 2 .5 cm above the carina . The right internal jugular venous catheter is in the mid SVC . NG tube is just beyond the GE junction and should be advanced for optimal positioning .