Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 2 cm above level the carina . Recommend advancement by approximately 1 into cm for more optimal positioning . There are moderate bilateral pleural effusions with overlying atelectasis . Bilateral perihilar opacities may relate to combination of pulmonary edema and pleural effusions . Left base opacity may represent combination of pleural effusion and atelectasis although infection is not excluded in the appropriate clinical setting . The cardiac and mediastinal silhouettes are similar . Hilar contours are somewhat more prominent , likely related to pulmonary edema . There is moderate to severe pulmonary edema .
    OUTPUT:
    
Interval increase in bilateral pleural effusions and bilateral perihilar opacities , worrisome for worsening pulmonary edema , possibly in the setting of CHF .