Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube terminates 5 cm from the carina . The degree of vascular congestion has increased , with possible small bilateral pleural effusions . Atelectasis of the left lower lobe is unchanged . No focal consolidation concerning for pneumonia . A hiatal hernia is unchanged , and an NG tube follows the hernial contour below the diaphragm .
    OUTPUT:
    
1 . Increased vascular congestion with possible small bilateral effusions . 2 . No focal consolidation concerning for pneumonia .