Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP view of the chest provided . ET tube is 4 .2 cm above the carina . NG tube courses below the level of the hemidiaphragm and out of view . Bilateral alveolar opacities are significantly worsened from ___ . No pneumothorax . Probable small left pleural effusion and associated atelectasis is unchanged . Hilar contours are normal . Moderate cardiomegaly is unchanged .
    OUTPUT:
    
Significant worsening of bilateral alveolar opacities is concerning for worsening pneumonia .