Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates 4 cm from the carina . Enteric tube terminates in the stomach . Right chest wall port catheter terminates in the right atrium . Left chest wall pacemaker leads terminating in the right atrium and right ventricle , appropriately . Right subclavian central venous catheter terminates in the lower SVC . Multifocal bilateral airspace opacities are in keeping with multifocal pneumonia , however have acutely worsened since the outside hospital chest radiograph . Cardiac and mediastinal contours are normal . No large pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Appropriate position of support lines and tubes . 2 . Rapid worsening of pulmonary opacities since the prior outside hospital chest radiograph is indicative of pulmonary edema or hemorrhage . Preceding pneumonia may be present , particularly in the left lower lobe .