Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new ET tube with tip 2 .5 cm above the carina . The heart continues to be severely enlarged . There is pulmonary vascular redistribution with some patchy areas of alveolar infiltrate . The right IJ line tip is at the cavoatrial junction .
    OUTPUT:
    
Slight increase in vascular plethora