Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . An ET tube ends 2 .5 cm above the carina . Left pacemaker and leads are stable in position . A right central venous catheter ends in the mid SVC . A nasogastric tube courses below the level of the diaphragm , the distal tip is not seen . Multi focal opacities in both lungs are unchanged . There is prominence of the pulmonary vasculature . Small bilateral pleural effusions are unchanged . No pneumothorax . Mild levoscoliosis is stable .
    OUTPUT:
    
No significant changes from the prior exam 3 hours earlier . Multifocal opacities involving both lungs are unchanged and suggestive of probable pneumonia and mild pulmonary vascular congestion .