Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the chest x-ray from ___ at 05 : 12 , there has been increase in degree of confluent opacity in the right upper and mid / perihilar zones and in left perihilar region . Patchy retrocardiac opacity is also present behind the right an left cardiac silhouettes . Minimal blunting of left costophrenic angle is again noted . Mild vascular plethora is likely present . The right costophrenic angle is clear . No pneumothorax detected . Compared to the prior film , an ET tube is now in place , tip approximately 4 .6 cm above the carina , at the level of the upper clavicular heads .
    OUTPUT:
    
1 . Worsening opacities in both lungs with prominent confluent opacity in the right upper and mid zones and left perihilar region as well as in the retrocardiac region . The differential remains similar and includes asymmetric CHF related to or independent of mitral valve or papillary muscle abnormalities or edema with concurrent right upper lobe pneumonia . 2 . ET tube tip 4 .6 cm above the carina , at the level of the upper clavicular heads .