Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is approximately 4 .7 cm above the carina . Left PICC appears to terminate in the right atrium . Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Bilateral multi focal pulmonary opacities are worse in the left lung . No pleural effusion or pneumothorax is seen . Distended loops of bowel are not fully evaluated on chest x-ray exam .
    OUTPUT:
    
1 . The ET tube is approximately 4 .7 cm above the carina . Left PICC terminates in the right atrium . 2 . Bilateral multifocal pulmonary opacities have worsened in the left lung . 3 . Distended loops of bowel are not fully evaluated on chest x-ray exam .