Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral widespread opacities have significantly worsened since previous exam . There is no pneumothorax or pleural effusion . ET tube ends 2 .8 cm above the carina . Right jugular line is in upper atrium . NG tube is in the stomach . Mediastinal and cardiac contours are top normal .
    OUTPUT:
    
Bilateral widespread opacities have significantly worsened . It could be due to real progression of the pneumonia or change in the ventilation parameters . This was discussed with the medical team at 9 :37 a .m .