Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest demonstrates interval placement of ET tube with tip terminating 2 .7 cm above the carina . Compared to 1 day prior , there is massive progressive worsening of widespread pulmonary opacities and near complete white - out of bilateral lungs with relative sparing of the right upper lobe . There is new obscuration of the cardiac silhouette as well as a bilateral diaphragmatic contours allowing for which , cardiomegaly is likely unchanged . Bilateral effusions may be present . There is no pneumothorax . The airway remains midline . Note is made of an airdistended stomach .
    OUTPUT:
    
1 . ET tube with tip terminating 2 .7 cm above the carina . 2 . Marked rapid progression of pulmonary disease with now diffuse dense opacification of bilateral lungs and mild sparing of the right upper lobe , overall appearance suggestive of ARDS . 3 . Moderate air distended stomach . NGT placement should be considered . Findings discussed with Dr . ___ ___ phone at approximately 1 pm on ___ .