Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of an endotracheal tube , terminating approximately 4 .5 cm above the level of the carina . A left - sided Port - A - Cath is seen ; its distal aspect not well seen but with catheter likely terminating in the region of the cavoatrial junction . There has also been interval placement of a nasogastric tube which courses below level of the diaphragm extending into the left upper quadrant in the presumed location of the stomach . A right - sided chest tube has also been placed in the interval , which appears to course inferior to level of the diaphragm . In the interval since the prior study , there has been development of lucency projecting over the right inferolateral hemithorax highly worrisome for pneumothorax . Additionally , there has been increase in diffuse bilateral pulmonary opacities worrisome for worsening aspiration and edema . Imaging of the upper abdomen demonstrates dilated bowel . There is subcutaneous edema tracking along the right chest wall .
    OUTPUT:
    
1 . Small right - sided pneumothorax status post right chest tube placement . The chest tube extends to what appears to be inferior to the diaphragm on the right , not well assessed . This finding was discussed with Dr . ___ at 3 :30 p .m . on ___ via telephone , 5 minutes after discovery . 2 . Appropriate position of endotracheal and nasogastric tubes . 3 . Interval severe worsening of diffuse bilateral pulmonary opacities likely representing combination of marked aspiration and possibly pulmonary edema . 4 . Partially imaged dilated bowel . CT pending .