Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 2 .5 cm above the carina . Right internal jugular line ends at lower SVC . Bilateral lung volumes are low . Cardiac decompensation as reflected from the increased heart size , prominent azygos and upper lobe pulmonary vessels has worsened since ___ . Bilateral lower lung opacities which have worsened over last ___ hours reflect aspiration or atelectasis . Bilateral pleural effusions if any are smaller .
    OUTPUT:
    
Low lung volumes , worsened cardiac decompensation and new lower lung aspiration / atelectasis .