Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present , tip in satisfactory position approximately 4 .1 cm above the carina . An enteric type tube is present , tip extending beneath diaphragm , off the film . A left subclavian PICC line tip overlies the distal SVC . No pneumothorax is detected . Compared to ___ at 03 :43 , the degree of opacity in both lungs appears to have increased slightly . Confluent opacity at the right chest wall laterally is similar to the prior study . The cardiomediastinal silhouette is grossly unchanged . Mediastinal and hilar prominence is unchanged . No gross right and no left effusion .
    OUTPUT:
    
1 . Lines and tubes in satisfactory position . 2 . Slightly worsened appearance of opacities in both lungs . This is compatible with an infectious process , in keeping with findings on the ___ CT scan . 3 . The possibility of a component of superimposed CHF would be difficult to exclude . No gross effusion identified .