Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube tip lies approximately a 4 .5 cm above the carina . NG tube tip extends beneath diaphragm , off film . No pneumothorax detected . Cardiomediastinal silhouette is enlarged , but unchanged . Hazy opacity at right base with underlying collapse and / or consolidation an increased retrocardiac density are also similar to the prior film . Vascular plethora with interstitial edema and vascular blurring is also overall similar to the prior film .
    OUTPUT:
    
Appearance is overall similar to the film from ___ at 13 : 14 . Cardiomegaly , CHF , bibasilar opacities are again seen , similar to the prior film .