Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable semi upright frontal chest radiograph again demonstrates an endotracheal tube terminating in mid thoracic trachea and an enteric tube terminating within the stomach . Bilateral pulmonary opacities continue to increase . There is a new small to moderate right pleural effusion and possible trace left pleural effusion . There is no pneumothorax . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
1 . Continued increase in bilateral pulmonary opacities , possibly / pulmonary edema or ARDS , although multifocal pneumonia is also a consideration in the right clinical setting . 2 . New small to moderate right pleural effusion . Of note , pleural effusions are less commonly seen in ARDS .