Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP supine chest radiograph was obtained and formally interpreted in conjunction with CTA performed 40 minutes later . Endotracheal tube terminates in the midtrachea . Left subclavian catheter terminates in the distal low . Nasogastric tube courses into the stomach . Severe bilateral perihilar consolidation , actually in the posterior regions is worse on the left where and there is accompanying pleural effusion layering posteriorly in the supine patient . There is no pneumothorax . No displaced rib fractures are identified though overlying structures and trauma board limits assessment . Heart and mediastinal contours are unremarkable .
    OUTPUT:
    
1 . Satisfactory position of monitoring and support devices . 2 . Severe bilateral pneumonia and / or pulmonary hemorrhage .