Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates in the mid distal trachea , 2 .6 cm above the carina , in satisfactory position . Right IJ catheter is in unchanged position . Contrast is seen in the left greater than right collecting system from recent CT scan . Bilateral diffuse and confluent parenchymal opacities are unchanged from the recent prior examination . No clear pleural effusion is identified . There is no pneumothorax . Heart and mediastinal contours while obscured appear unchanged . Spinal hardware is incompletely evaluated .
    OUTPUT:
    
Satisfactory position of ET tube . Unchanged appearance of extensive bilateral pulmonary opacities consistent with extensive multifocal pneumonia .