Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . Allowing for this , no significant interval change is identified . Again seen is an ET tube , with tip at the upper edge of the clavicular heads , and an NG tube and side - port beneath the diaphragm overlying the upper stomach . The ET tube tip lies approximately 3 .5 cm above the carina . Also again seen is diffuse opacity throughout the left lung , with relative sparing of the upper lobe , which obscures the cardiac border . There are some air bronchograms in the mid / lower left lung . There is partial obscuration of the left hemidiaphragm . On the right , inspiratory volumes are low with vascular crowding , but no frank consolidation or effusion is identified .
    OUTPUT:
    
Doubt significant interval change compared with the film obtained earlier the same day . Extensive opacification of the left lung is compatible with collapse and / or consolidation and a pneumonic infiltrate in this area can not be excluded . Low inspiratory volumes and vascular crowding limits direct assessment of CHF . The degree of vascular plethora seen in the right lung could be accounted for by low inspiratory volumes .