Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been intubated . An endotracheal tube terminates approximately 6 cm above the carina . An orogastric tube heads into the stomach although its tip lies beyond the confines of the film . A right internal jugular central venous catheter again terminates in the lower superior vena cava . The cardiac , mediastinal and hilar contours appear stable . There is probably a small pleural effusion on the right , although not necessarily changed . A diffuse interstitial abnormality is increased suggesting pulmonary edema . In addition , there are nodular opacities and a possible developing focal opacity in the right lower lung .
    OUTPUT:
    
Findings suggest pulmonary edema , but also with possible nodules and developing opacity at the right base , which if confirmed could represent developing pneumonia aspiration or atelectasis . Follow - up chest radiograph are recommended .