Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube is approximately 4 .1 cm above the carina . The right IJ central venous catheter terminates in upper to mid SVC . The enteric tube extends into the stomach and out of view . The pulmonary venous congestion is stable . The bilateral pleural effusion has increased . Bilateral lower lobe atelectasis has increased . The cardiac silhouette is enlarged and unchanged . The vascular pedicle is slightly enlarged . No pneumothorax .
    OUTPUT:
    
Interval increase in bilateral atelectasis and pleural effusion .