Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been slight interval increase in severity of massive bilateral pulmonary parenchymal opacifications . The bilateral pleural effusions are stable appearing . Cardiomediastinal and hilar contours are unchanged . There is no pneumothorax . Endotracheal tube ends 6 .6 cm from the carina . Left - sided subclavian central venous line ends at the distal SVC . Nasogastric feeding tube ends in the stomach . There is no pneumothorax .
    OUTPUT:
    
Slight interval increase in massive bilateral parenchymal opacifications and stable - appearing bilateral pleural effusions .