Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right IJ catheter terminates in the right atrium SVC junction . An endotracheal tube is 4 cm above the carinal . Bilateral parenchymal disease consistent with ARDS and or pneumonia has not changed . Hazy density in both lung bases suggests small bilateral effusions appear The heart is not enlarged . The osseous structures are normal for age . Monitor leads overlie the chest .
    OUTPUT:
    
No change in the bilateral parenchymal disease consistent with a combination of Legionella and ARDS