Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heterogeneous opacification of the lungs is increased compared to recent prior exam . There are small bilateral pleural effusions . No pneumothorax is detected on this single view . Heart size is normal . Aortic and carotid calcifications are noted . Endotracheal tube tip is 3 .5 cm above the carina . A right internal jugular catheter tip projects over the expected location of the high superior vena cava . An esophageal catheter traverses below the diaphragm with tip out of view .
    OUTPUT:
    
Small bilateral pleural effusions with increased bilateral pulmonary opacities , which likely represent a combination of edema and infection .