Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is appropriately positioned approximately 3 .9 cm above the carina . Opacities involving all lobes of the lung , worse in the right lower and perihilar regions are stable . Heart size is difficult to evaluate given the concomitant pulmonary opacities . Nasogastric tube courses below the diaphragm into the stomach . There is no pneumothorax . The right internal jugular central line terminates in the cavoatrial junction .
    OUTPUT:
    
Endotracheal tube in standard placement . No signficant change in apperance of the lung parenchyma .