Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs performed on same day on ___ at 03 :49 , the stomach and colon are again very distended . Severe bilateral parenchymal opacities are similar to prior . Cardiomegaly is similar to prior . An ET tube terminates 3 cm above the carina . A right PICC , VP shunt and Dobhoff tube are unchanged in position .
    OUTPUT:
    
Distended stomach and colon . Unchanged severe bilateral parenchymal opacities .