Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided central catheter position is unchanged with the tip seen in the right atrium . ET tube in situ 29 mm proximal to the carina . Nasogastric tube in situ . Interval progression of the right lower lobe airspace consolidation . Associated small to moderate right - sided pleural effusion . Interval progression of the nodular opacities seen in the bilateral upper lobes as well as the left lower lung zone .
    OUTPUT:
    
Interval progression of the multifocal pneumonia most likely secondary to aspiration . Tubes and lines unchanged .