Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable supine frontal chest radiograph demonstrates an enteric feeding tube coursing mid line with tip out of field of view . An endotracheal tube is in appropriate position with tip 3 .5 cm above the level of the carina . Interval placement of a left internal jugular central venous catheter with tip at the left brachiocephalic vein just proximal to the confluence . Persistently hypoinflated lungs with vascular crowding and right lower lobe atelectasis . No pneumothorax . Persistent small to moderate left pleural effusion with retrocardiac opacity . Aortic arch calcifications noted . Mediastinal contour and hila are otherwise unremarkable .
    OUTPUT:
    
1 . Left IJ CVL tip within the left brachiocephalic vein . 2 . Persistent small to moderate left pleural effusion with retrocardiac opacity likely combination of atelectasis and pleural effusion however can not exclude superimposed pneumonia in the appropriate clinical setting . 3 . Additional support lines and tubes as described above .