Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates extensive diffuse pulmonary opacities , which have increased in size slightly over the interval , and are concerning for multifocal aspiration pneumonia . Small bilateral pleural effusions , left greater than right , with adjacent atelectasis are also increased . Engorged central pulmonary vessels are consistent with moderate pulmonary edema . Cardiomediastinal and hilar contours are unchanged . Endotracheal tube ends 4 .9 cm from the carina . Nasogastric tube courses into the stomach and out of the field of view . Left - sided internal jugular central venous line ends at the confluence of the left brachiocephalic vein and the superior vena cava .
    OUTPUT:
    
Worsening multifocal aspiration pneumonia and moderate pulmonary edema .