Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the chest radiograph from a day earlier , an endotracheal tube is been placed with the tip 4 cm from the carina . Given for differences in technique the moderate right - sided effusion is likely layering posteriorly and not significantly changed . Right basal opacity has increased . Moderate left - sided pleural effusion has increased . There is also increasing left basal opacity . Moderate cardiomegaly .
    OUTPUT:
    
Endotracheal tube is 4 cm from the carina . Moderate bilateral pleural effusions with increasing bibasilar opacities