Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the study of ___ , there is improvement in bilateral upper lobe vascular congestion . The large bilateral pleural effusions with superimposed atelectasis or collapse of the lower lobes are unchanged . The persistence of multifocal airspace opacities is suspicious for ARDS , and clinical correlation is recommended . Heart size is top - normal . The left IJ CVC ends at the confluence of the left brachiocephalic and the SVC . The endotracheal tube ends 5 .6 cm from the carina . There is no pneumothorax .
    OUTPUT:
    
1 . Interval improvement in bilateral upper lobe vascular congestion . 2 . Unchanged large bilateral pleural effusions with bilateral lower lobe collapse . 3 . Persistent multifocal airspace opacities suspicious for ARDS , clinical correlation recommended .