Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The new endotracheal tube terminates 2 .4 cm from the carina . Low lung volumes cause bronchovascular crowding and bibasilar atelectasis . Allowing for this there is likely moderate pulmonary vascular congestion . There is a trace left pleural effusion . There is no focal consolidation or pneumothorax . There is apparent discontinuity of the lateral left seventh and eighth ribs and the posterior left fifth rib suggesting acute fractures . Right sixth and seventh ribs also appear fractured in their lateral portion . There is diffuse demineralization .
    OUTPUT:
    
1 . New endotracheal tube terminates 2 .4 cm from the carina . 2 . Bilateral rib fractures . 3 . Moderate pulmonary vascular congestion .