Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of an endotracheal tube that ends approximately 5 cm above the carinal . A right - sided PICC line ends in the lower SVC in unchanged position . There has been no significant interval change in appearance of the lungs compared with the previous exam , with a diffuse alveolar process that appears to have the same distribution observed in prior CT from ___ . The more pronouced right basal opacity is likely a combination of atelectasis and a large layering pleural effusion . A small left - sided pleural effusion with probable associated atelectasis is also present .
    OUTPUT:
    
1 . Endotracheal tube ends beyond the thoracic inlet in appropriate position approximately 5 cm above the carina . 2 . Persistent diffuse alveolar process better assessed in recent CT from ___ is not resolving and suggestive of multifocal pneumonia with underlying interstitial pulmonary edema . 3 . Bilateral layering pleural effusions with associated atelectasis , right worse than left , are unchanged .