Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post endotracheal intubation . The tube is somewhat low lying , with the tip terminating only about 1 - 1 .5 cm above the carina . In addition , the balloon appears somewhat over - inflated . A nasogastric tube terminates in the stomach although with relatively little purchase . It s sidehole lies only slightly below the gastroesophageal junction . There is a dual - lead pacemaker / ICD device in place . The heart is at upper limits of normal size . The aorta shows mild - to - moderate unfolding and patchy calcification . Otherwise , the mediastinal and hilar contours appear unchanged . There is a retrocardiac opacity obscuring the left hemidiaphragm which could be seen with substantial atelectasis , perhaps with a pleural effusion ; however , infectious causes are difficult to exclude .
    OUTPUT:
    
1 . Somewhat low lying endotracheal tube and generously inflated cuff . Slight retraction of the tube and if feasible decreased distention of the balloon may be appropriate if clinically indicated . 2 . Nasogastric tube terminating in the stomach , although if better purchase in the stomach is desired clinically then the tube could be advanced . 3 . Left lower lung opacity , which is nonspecific but could be seen with atelectasis and perhaps pleural effusion although pneumonia or aspiration are difficult to completely exclude . Short - term followup radiographs may be appropriate to reassess .