Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube terminates approximately 3 .6 cm from the carina . The right - sided internal jugular line ends in the low atrium . There is an enteric tube , which courses below the diaphragm with the tip in the body of the stomach . The heart size is normal . The lung volumes are low . There has been slight interval worsening of the severe widespread bilateral pulmonary opacities since the prior exam . No definite pleural effusions or pneumothoraces identified . The hilar and mediastinal contours are stable .
    OUTPUT:
    
Slight interval worsening of the bilateral pulmonary opacities in the context of lower lung volumes compared to the prior exam .