Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared 1 day prior , there has been interval intubation . The endotracheal tube terminates 4 .1 cm above the carina . Given the course of radiopaque tubing projecting over the upper left lung , this is likely external to the patient . Mild pulmonary vascular congestion is present . No pulmonary edema . No large pleural effusion or pneumothorax .
    OUTPUT:
    
Interval intubation with an endotracheal tube terminating 4 .1 cm above the carina . Otherwise , no significant change .