Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior , there has been little change to diffuse bilateral pulmonary opacification . Right IJ , endotracheal tube , and NGT are unchanged in position . There cardiomediastinal and hilar contours are unchanged . There is no pneumothorax or large pleural effusion .
    OUTPUT:
    
No change to diffuse bilateral pulmonary opacifications consistent with ARDS .