Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hypoinflated with increased cephalization of vasculature and new small bilateral pleural effusions . Right costophrenic angle is not fully imaged . Persistent mild to moderate cardiomegaly . The main pulmonary arteries are enlarged as before , suggests pulmonary arterial hypertension . No pneumothorax . NG tube tip is not well visualized An endotracheal tube is in appropriate position . Partially visualized posterior spinal fusion hardware noted .
    OUTPUT:
    
1 . Progression of moderate pulmonary edema with new small bile pleural effusions , persistent cardiomegaly and enlargement of the pulmonary arteries suggesting pulmonary arterial hypertension . 2 . Endotracheal tube in appropriate position .