Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ETT terminates 5 .5 cm above the carina . The tip of the NG tube is not visualized , however the side hole appears to be above the diaphragm . The vascular congestion appears to have worsened bilaterally in comparison to the prior chest radiograph . Large unchanged pleural effusions . Stable enlargement of the cardiac silhouette . The mediastinal and hilar contours are stable . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . NG tube with side hole above the diaphragm , which should be advanced at least 5 cm . 2 . ET tube in appropriate positioning . 3 . Worsening vascular congestion with large unchanged pleural effusions .