Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube terminates approximately 4 .8 cm above the carina . The right PICC line is unchanged in positioning . There are increasing multifocal bilateral parenchymal opacities , especially with in the right upper and mid lung , which likely represent aspiration . The pulmonary vasculature is normal . Cardiomediastinal silhouette is stable . There is a probable small left pleural effusion . No pneumothorax is visualized .
    OUTPUT:
    
1 . Appropriate positioning of all lines and tubes . 2 . Increasing multifocal bilateral parenchymal opacities , likely representing aspiration vs less likely multifocal pneumonia . 3 . Probable small left pleural effusion .