Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mildly enlarged . A left - sided pacemaker is in place , with the leads terminating in the right atrium and right ventricle . Diffuse bilateral opacities are seen , which may be consistent with edema / hemorrhage or pneumonia / aspiration . A right - sided pleural effusion is likely present . There is bilateral volume loss . An endotracheal tube and partially visualized transesophageal tube remain in stable position . There has been interval placement of a left - sided chest tube , which terminates in the left mid hemithorax . No definite large pneumothorax is identified .
    OUTPUT:
    
Stable bilateral opacities . Interval placement of a left - sided chest tube .