Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overlying trauma board limits evaluation . Endotracheal tube tip terminates approximately 5 cm from the carina . Orogastric tube is noted within the stomach and the tip projects off the inferior borders of the film . Bilateral chest tubes are noted terminating near the lung apices . Left subclavian central venous catheter tip terminates within the upper SVC . The heart size is normal . The superior mediastinum is widened . Small bilateral pneumothoraces are present . Minimal streaky opacity is noted in the left lung base , which could reflect atelectasis . More focal opacity is also seen within the left mid lung field , which is nonspecific . No pleural effusion is identified . There are multiple bilateral rib fractures noted .
    OUTPUT:
    
1 . Lines and tubes in standard positions . 2 . Widened superior mediastinum . Subsequent CT of the torso demonstrated an extensive type A aortic dissection . 3 . Small bilateral apical pneumothoraces . 4 . Streaky opacity left lung base may reflect atelectasis . More focal opacity in the left mid lung field is nonspecific but could reflect an area of aspiration or contusion .