Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is seen in place approximately 5 cm above the carina . A feeding tube is again seen passing below the diaphragm . The left - sided PICC line is unchanged . There is worsening consolidation of the left lower lobe as well as the right upper lobe and scattered acinar nodularity seen throughout the right lung . The heart is enlarged . There is no evidence of pneumothorax .
    OUTPUT:
    
Acinar nodularity and worsening consolidation in the right upper and left lower lobes suggestive of worsening pulmonary edema , ARDS or possibly pulmonary hemorrhage . These findings were communicated to Dr . ___ by telphone 20 minutes after discovery by Dr . ___ .