Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest demonstrates ET tube terminating 4 .2 cm above the carina . There is now striking near confluent bilateral pulmonary white - out with minimal apical sparing , rapidly worsened since 4 hours ago . There are dense opacities in the lung bases obscuring the diaphragmatic contours and costophrenic angles . Assessment for pleural effusion is limited . There is no pneumothorax . Below the diaphragm , a TIPS is in place . Air distended bowel loops are incompletely imaged .
    OUTPUT:
    
Rapid progressive near complete white - out of the lungs over the past 24 hours , most consistent with ARDS . Findings discussed with Dr . ___ at approximately 15 :00 on ___ via phone by Dr . ___ .