Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is present 3 .8 cm above the carina . Enteric tube is in appropriate position . Right Port - A - Cath is present with tip terminating in the right atrium . Heart size is normal . Diffuse nodular opacities are present throughout both lungs . Opacities in right upper lobe and left lung have become slightly more confluent and may represent a superimposed infectious process or pulmonary edema . Bilateral pleural effusions are small on the right and moderate on the left , similar to prior .
    OUTPUT:
    
1 . Supportive devices in standard positions . 2 . Slightly increased opacities in the right upper lobe and left lung , which may reflect superimposed infection or pulmonary edema . 3 . Diffuse nodular opacities reflecting known intrathoracic metastatic disease . 4 . Small right pleural effusion and moderate left pleural effusion .