Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The nasogastric tube has been removed . The remainder of the support lines and tubes are unchanged : A right internal jugular central venous catheter terminates in the mid SVC . The ET tube terminates 5 cm above the carina . The lung volumes are low . There are rapidly worsening bilateral lower lobe opacities with increased obscuration of both hemidiaphragms likely representing a combination of worsening atelectasis and pleural effusion . Underlying infectious consolidation can not be excluded . Mild pulmonary congestion is also slightly worse .
    OUTPUT:
    
1 . Rapidly worsening bilateral lower lobe opacities likely represent a combination of atelectasis and effusion . Differential diagnosis includes aspiration and infectious consolidation . 2 . Cardiomegaly and mild pulmonary congestion , slightly worse than yesterday