Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube terminates 5 cm above the carina . An orogastric tube courses below the diaphragm , tip is seen in the gastric fundus . The cardiac silhouette is enlarged . Pulmonary vascular engorgement and pleural effusion have improved . There are small pleural effusions , if any . There is redemonstration of chronic pulmonary fibrosis , with superimposed bilateral diffuse opacities , worse at the right lower lobe and left upper lobe and progressed since prior examination , concerning for worsening multifocal pneumonia .
    OUTPUT:
    
Worsening multifocal pneumonia on a background of chronic pulmonary fibrosis . Improved but persistent pulmonary edema .