Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube is 5 .5 cm above the carina . NG tube tip is in the stomach . Right IJ line tip is in the mid SVC . There bilateral pleural effusions and volume loss in the lower lobes . An underlying infectious infiltrate ca n't be excluded . There is mild pulmonary vascular redistribution . Compared to the prior study there is some minimal improvement in aeration in the right upper lung
    OUTPUT:
    
Bilateral lower lobe volume loss with effusions . An underlying infectious infiltrate ca n't be excluded .