Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in place with the tip terminating at the level of the carina . A nasogastric tube is seen coursing below the diaphragm and out of view on this image . A right internal jugular central venous catheter is in place with the tip terminating at the mid-to - lower SVC . The inspiratory lung volumes are low . The cardiomediastinal silhouette is accentuated due to low lung volumes . There is apparent widening of the mediastinum , which is due in part to unfolding of the thoracic aorta . Minimal calcification of the aortic knob is noted . The lungs are clear without large pleural effusion or pneumothorax . No focal consolidation is seen .
    OUTPUT:
    
1 . Endotracheal tube with tip at the carina . Recommend retraction . 2 . Otherwise , satisfactory position of lines and tubes . No pneumothorax .