IMPRESSION:
Right PICC line is deep in the right atrium and should be pulled back 5 cm. ET
 tube tip is approximately 6 cm above the carinal. NG tube tip is in the
 stomach. Widespread parenchymal opacities have progressed since the prior
 study slightly.
 
 Of note is that the ET tube cough might be potentially slightly hyper
 expanded, please adjust.