Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment of fine detail on this film is quite limited . ET tube tip appears to lie at the upper edge of the clavicular heads , approximately 5 .2 cm above the carina . The NG tube is quite difficult to trace beyond level of lower esophagus . There is a right subclavian PICC line . Again , the tip is not distinctly visible . No obvious pneumothorax . Inspiratory volumes are low , with prominent cardiomediastinal silhouette , similar to the prior study . Diffuse opacity is present in both lungs . Changes in the right lung are notably increased compared with ___ at 01 : 10 . This is difficult to characterize could represent alveolar edema . As before , there is increased retrocardiac density with obscuration of left hemidiaphragm . The left pleural sulcus is not well visualized . No gross right effusion is identified .
    OUTPUT:
    
1 . Lines and tubes as described . As noted , the distal NG tube and PICC line are not well delineated . 2 . Persistent cardiomegaly and left lower lobe collapse and / or consolidation . 3 . Elsewhere , there is diffuse opacity . In the right lung , this appears increased compared with ___ at 01 : 10 , but is not clearly characterized , ? Alveolar edema , ? Component of atelectasis or layering effusion 4 . Of note , the radiographic appearance is significantly worse and more difficult to assess than on the radiograph from ___ . If clinically indicated , chest CT may help to more completely delineate the nature of the abnormality and the location of the lines / tubes .