Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The OG tube tip is off the film , at least in the stomach . The ET tube and left IJ line are unchanged . There continues to be rotation to the right obscuring some of the right lower lobe with apparent mediastinal shift to the right . There continues to be vascular engorgement with alveolar infiltrate
    OUTPUT:
    
Pulmonary edema , similar to prior .