Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior , there has been interval placement of an endotracheal tube with tip 4 .2 cm from the carina . Right PICC is again identified . Left chest wall single lead pacing device is noted . Degree of pulmonary edema appears worse . Retrocardiac opacity persists and there is more opacity superiorly on the left likely in part due to layering effusion . Cervical spine hardware and partially visualized lumbar spine fixation hardware is visualized .
    OUTPUT:
    
ET tube in appropriate position . Worsening of pulmonary edema . Retrocardiac opacity likely in part due to effusion which is also seen layering more superiorly .