Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is 5 .0 cm above the carina . Right - sided PICC terminates at the lower SVC . The cardiomediastinal silhouette is unchanged . Bilateral parahilar and right infrahilar opacities appears unchanged compared to prior study from the same day , however increased compared to multiple priors . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Bilateral hilar and right infrahilar opacities are unchanged compared to the prior radiograph and concerning for aspiration pneumonia / pneumonitis .