Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ETT terminates 4 cm above the carina . There is an NG tube which courses below the diaphragm , however the tip is not visualized on this image . There is bibasilar opacification with air bronchograms , which appears more confluent in comparison to the prior chest radiograph . Small left pleural effusion . Heart size is stable . Mediastinal widening due to lipomatosis is stable . The hilar contours are normal . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . ET tube and NG tube in appropriate positioning . 2 . Worsening bibasilar opacification , which now appears more confluent , likely due to aspiration pneumonia . 3 . Probable small left pleural effusion .