Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New ET tube ends 3 .1 cm above carina . Right - sided jugular line ends in mid SVC . Progression of right moderate pleural effusion and left mild - to - moderate pleural effusion with sign of moderate pulmonary edema . There is a more focal zone in the right upper lobe that could be consistent with edema , but an aspiration or pneumonia can not be excluded . Bibasilar atelectasis is unchanged . There is also a lesser elevation of the diaphragm due to massive splenomegaly .
    OUTPUT:
    
1 . Line and tubes are in adequate position . 2 . Worsening of moderate pulmonary edema and bilateral pleural effusion . 3 . Slight new focal zone in the right upper lobe where aspiration or pneumonia can not be excluded .