Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube is present in standard position . An enteric tube is present with tip in the upper stomach and side holes at the GE junction . A left axillary dual lead pacemaker is noted with tips terminating in the right atrium and right ventricle . A 3 .5 cm metallic foreign object with two linear components and two curvilinear components projects in the left mid lung just beneath the left mainstem bronchus . The lateral scout view from the outside hospital CT abdomen pelvis shows this object in an unexpected orientation for the left lower lobe bronchus . This object is definitely iatrogenic and suspected to be cardiac related . The heart size is top normal . The mediastinal and hilar contours are unremarkable . There is no pneumothorax . There is a layering moderate right pleural effusion . The lungs are well - expanded . Pulmonary edema is mild . There is no focal consolidation concerning for pneumonia .
    OUTPUT:
    
1 . ET tube in acceptable position . Enteric tube should be advanced by several centimeters to ensure position of side holes within the stomach . 2 . Mild pulmonary edema with moderate right pleural effusion . 3 . Internal iatrogenic implement projecting over the left mid lung medially , suspected to be cardiac in location . Correlation with known cardiac history is advised .