Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is again high - lying , lying about 9 cm above the carina . An orogastric tube courses into the stomach . The cardiac , mediastinal and hilar contours appear unchanged . Superimposed on bibasilar opacities , left greater than right , as seen previously , is an increasing hazy perihilar abnormality with peribronchial cuffing , suggestive of fluid overload , but etiologies such as rapidly developing infection or acute respiratory distress syndrome could also be considered .
    OUTPUT:
    
Increasing predominantly perihilar opacification , suggesting pulmonary congestion versus other etiologies such as diffuse rapidly progressive infection or respiratory distress syndrome . High - lying endotracheal tube , which could be advanced somewhat if clinically indicated .