Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiograph of the chest demonstrates interval worsening of right and left parenchymal opacifications consistent with worsening fulminant multifocal pneumonia along with worsening pulmonary edema . The heart size is enlarged and is unchanged from the prior study . The right internal jugular line remains in the upper SVC and the endotracheal tube is approximately 4 .5 cm above the level of the carina . An NG tube is seen coursing below the diaphragm and out of view . There has been interval removal of an esophageal temperature probe .
    OUTPUT:
    
Worsening , severe , acute pneumonia and concurrent pulmonary edema .