Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 4 .4 cm from the carina . No pneumothorax is identified . There are worsening diffuse alveolar opacities in both lungs compatible with worsening pulmonary edema . Small right pleural effusion persists . The left costophrenic angle is excluded from the field of view . There is continued mild cardiomegaly . The mediastinal contour is stable . Bilateral rib fractures are again seen .
    OUTPUT:
    
Endotracheal tube in standard position . Worsening pulmonary edema with small right pleural effusion .