Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects above the level of the clavicles , approximately 8 .5 cm from the carina . For more optimal positioning , could be advanced by 2 cm . Bilateral alveolar opacities and broncho -vascular congestion likely indicates pulmonary edema . There is a small to moderate right pleural effusion and a left pleural effusion is likely . Stable cardiomegaly compared to the prior study from ___ . Prominence of the mediastinum is likely due to unfolding of the thoracic aorta .
    OUTPUT:
    
1 . The tip of the endotracheal tube is approximately 8 .5 cm from the carina and for more optimal placement , this could be advanced by 2 cm . 2 . Bilateral alveolar opacities and bronchovascular congestion consistent with severe pulmonary edema . Right pleural effusion and likely left pleural effusion .