Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . The gastric tube extends below the level of the diaphragms but beyond the field of view of this radiograph . The right internal jugular central venous catheter tip projects over the mid SVC . There has been further increase in the bilateral predominantly perihilar and lower lobe patchy and confluent airspace opacities , possibly reflective of pulmonary edema and / or multifocal pneumonia in the correct clinical context . The small layering left pleural effusion . The size of the cardiac silhouette is unchanged .
    OUTPUT:
    
The tip of the endotracheal tube projects over the mid thoracic trachea . Interval increase in the bilateral predominantly in perihilar and lower lobe opacities , reflective of pulmonary edema and / or multifocal pneumonia in the proper clinical context .