Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present , tip at the level of the mid clavicular heads , approximately 7 .1 cm above the carina . NG tube is present , tip extending beneath diaphragm , off film . Right IJ central line is present , tip overlying SVC / RA junction , similar to the prior film . No pneumothorax is detected . The mediastinal silhouette is unchanged . Hyperinflation and extensive opacity in both lungs , most pronounced in the upper zones and along the right chest wall and adjoining right base , as well as increased retrocardiac density , are similar to the prior film . Lateral aspect of both diaphragms and both costophrenic angles are excluded from the film .
    OUTPUT:
    
Doubt significant change compared with 1 day earlier .