Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ETT tip terminates approximately 3 cm from the carina , in standard position . Lung volumes are slightly low . Bilateral ill - defined as well as confluent air space opacities can be seen with infection or heart failure . Retrocardiac opacity with silhouetting of the left hemidiaphragm may represent a combination of effusion and / or atelectasis . The heart size is difficult to assess on this portable exam and since the left heart border is obscured . The central pulmonary vessels appear engorged . No pneumothorax . No acute osseous abnormality .
    OUTPUT:
    
1 . ETT in standard position . 2 . Multifocal pneumonia and / or heart failure , multifocal pneumonia is most likely given the history of leukocytosis .