Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 2 .6 cm from the carina . Orogastric tube is seen coursing below the diaphragm , with the tip not well visualized . The heart remains severely enlarged . There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion . Persistent bibasilar airspace opacities again may reflect atelectasis , aspiration or infection . There is no large pneumothorax on this supine study .
    OUTPUT:
    
Low lying endotracheal tube with tip terminating approximately 2 .6 cm above the carina . Orogastric tube courses below the diaphragm . Worsening mild pulmonary edema with layering left pleural effusion .