Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is in appropriate position . Diffuse bilateral multifocal consolidations have worsened in the mid and upper lung fields and are unchanged at the lung bases . There are small bilateral pleural effusions . Heart size is normal . The mediastinal and hilar contours are normal .
    OUTPUT:
    
Worsening multifocal bilateral consolidations likely reflect combination of patient 's metastatic disease and sequela of aspiration .