Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When accounting for redistribution and patient positioning , no significant interval change . Bilateral extensive patchy opacities in the setting of essentially normal heart size suggests ARDS . However , some nodularity to the opacities could be infection . No change in position of support devices including ETT ( tip 7 cm from carina ) , right internal jugular venous catheter ( tip in the mid SVC ) , and enteric tube ( in stomach ) . No pneumothorax .
    OUTPUT:
    
No significant interval change .