Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest . Patient is markedly rotated . Endotracheal tube ends at the thoracic inlet in the carina . Left - sided pacemaker is again seen . The median sternotomy wires are unchanged . An enteric tube ends in the stomach . There is pulmonary vascular congestion . Heart size is not well evaluated . ___ be small bilateral pleural effusions . There is no pneumothorax .
    OUTPUT:
    
Left lower lobe opacity can not be ruled out , pulmonary vascular congestion and mild pulmonary edema and probable small bilateral pleural effusions . Endotracheal tube is in in appropriate position .