Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated . The endotracheal tube terminates approximately 4 cm above the carina . An orogastric tube passes into the stomach , it s tip not imaged . A left - sided Port - A - Cath terminates at the cavoatrial junction . Allowing for technique , the heart is probably normal in size . Each hilum is enlarged and indistinct suggesting pulmonary vascular congestion . In addition , there is a focal right upper lobe opacity . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Findings suggesting pulmonary vascular congestion . Focal right upper lobe opacity ; differential considerations include sequela of pneumonia , aspiration or focal edema , perhaps resolving or impending atelectasis . Short - term followup radiographs are suggested to reassess .