Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is in stable position 2 .5 cm above described . On t he initial radiographic the nasogastric tube is coiled in the neck , however , on the subsequent image the nasogastric tube is looped at the gastroesophageal junciton . A right third lateral rib fracture is again noted . Dense right middle and bilateral lower lobe consolidation has progressed . Bilateral , right greater than left , pleural effusions are identified . Cardiac and mediastinal contours are stable . No pneumothorax .
    OUTPUT:
    
Interval worsening of dense right middle and bilateral lower lobe consolidation which could represent hemorrhage , ARDS or multifocal infection . Bilateral , right greater than left , pleural effusions . The endotracheal tube is in stable position 2 .5 cm above the carina . The nasogastric tube loops at the gastroesophageal junction and could be advanced .