Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is new , terminating approximately 8 cm from the carina , at the level of the thoracic inlet . Nasogastric tube tip is suboptimally positioned with the tip terminating above the gastroesophageal junction . The heart remains moderate to severely enlarged . The patient is status post median sternotomy and mitral valve replacement . Left - sided AICD / pacemaker device is noted with leads terminating in the right atrium and right right ventricle . Worsening bilateral parenchymal opacities predominantly in a perihilar distribution are noted with increased confluence , likely reflective of pulmonary edema which is moderate to severe . Bibasilar opacities likely reflect atelectasis though infection can not be excluded . Small right pleural effusion is re - demonstrated . No pneumothorax is identified .
    OUTPUT:
    
1 . Standard positioning of the endotracheal tube . Suboptimal positioning of the nasogastric tube with tip terminating just above the gastroesophageal junction , and should be advanced . 2 . Worsening bilateral predominantly perihilar opacities which are more confluent , likely reflective of worsening pulmonary edema . Small right pleural effusion persists .