Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: This patient presented with asymmetric right more than left opacities on ___ that rapidly deteriorated over a course of two hours . A bronchoscopy was done and found no blood and no mucus plugging . The patient is now treated with pneumonia . On today 's exam ET tube ends 3 .6 cm above the carina . NG tube is in the stomach . The severe widespread opacities have worsened at the lung bases and left upper lobe , but improved in right upper lobe . There is possibly adjacent pleural effusions , hard to assess . Mediastinal and cardiac contours are top normal . There is no pneumothorax .
    OUTPUT:
    
1 . Tube and lines are in adequate position . 2 . Widespread severe lung opacities have worsened in the lower lungs and left upper lobe but improved in right upper lobe . The evolution and lack of vascular engorgement go against pulmonary edema . Considering that the bronchoscopy was negative for pulmonary hemorrhage , severe pneumonia is the most likely diagnosis . This was discussed with the medical team .