Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is following intubated with the endotracheal tube at the carina . The nasogastric tube has also been inserted with the tip of the tube at of view below the diaphragm . . As compared to the radiograph from earlier today , multifocal widespread opacities have increased . Moderate cardiomegaly with a small to moderate left - sided pleural effusion . No pneumothorax .
    OUTPUT:
    
Worsening widespread airspace opacities can be alveolar hemorrhage , worsening edema or infection .