Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ there is decreasing lung volume with possible in the bibasal airspace opacities . There is likely a small left pleural effusion . No pneumothorax . No interstitial edema . The heart is mildly enlarged . Support devices remain in similar position of the NG first port in the cardia of the stomach .
    OUTPUT:
    
Interval decrease in lung volumes , which may relate to worsening appearance of the bibasal aspiration pneumonia NG tube needs be advanced at least 5 cm .