Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Enteric feeding tube is seen coursing mid line with tip out of field of view . The endotracheal tube is at the level of the clavicles , 1 .9 cm above the level of the carina in appropriate position . Intact sternotomy wires . Hypoinflated lungs with bilateral perihilar interstitial prominence consistent with vascular crowding and vascular congestion given cephalization . New left lower lobe heterogeneous opacity . Trace left pleural effusion . No right pleural effusion . No pneumothorax . Heart size , mediastinal contour , and hila are unremarkable .
    OUTPUT:
    
1 . Hypoinflated lungs exaggerate mild vascular congestion . Probable small left pleural effusion . 2 . New left lower lobe opacity likely represents atelectasis however pneumonia can not be excluded in the appropriate clinical setting . 3 . Support lines and tubes as described above .