Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . An ET tube is present , tip approximately 3 .2 cm above the carina . A left subclavian central line tip overlies the cavoatrial junction . VP shunt noted . An NG tube is present . The configuration appears similar to the prior film , with extension meets the diaphragm , a hairpin curve below the edge of the film , and the tip overlying the gastric fundus . The cardiomediastinal silhouette is probably unchanged . There is more confluent hazy opacity in the right mid and lower zones compared to the prior film . Faint hazy opacity in the retrocardiac region is again noted .
    OUTPUT:
    
1 . NG tube configuration similar prior . 2 . Hazy opacity at right base / middle zone has a progressed . Patchy opacity at the left base is also again noted . The differential diagnosis includes collapse and / or consolidation . In the appropriate clinical setting , aspiration pneumonitis could have a similar appearance .