Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been intubated since the prior examination , the endotracheal tube terminates about 2 .5 cm above the carina . A dual - lead pacemaker / ICD device has leads terminating in the right atrium and ventricle , respectively . An orogastric tube terminates near the gastroesophageal junction . The stomach is mild to moderately distended . An interstitial abnormality with indistinct pulmonary vessels and peribronchial cuffing has increased since the prior study . Although somewhat asymmetric , more prominent on the right than left , pulmonary edema is the most likely reason . Widespread pneumonia could be considered , however . There is no definite pleural effusion or pneumothorax . Cholecystectomy clips project over the right upper quadrant .
    OUTPUT:
    
Status post endotracheal intubation . Orogastric tube terminating short of the stomach , which appears mildly distended . Advancing the tube somewhat may be helpful if clinically indicated . Increasing opacities in both lungs , greater on the right than left , for which a somewhat asymmetric form of pulmonary edema , pneumonia , or even aspiration could be considered clinically .