Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube appears to been removed . 2 orogastric type tubes are present . 1 Extends beneath the diaphragm , off the film . Linear radiodensity could represent the tip of acute Dobbhoff tube . If so , it overlies the gastric fundus . Right IJ central line tip overlies distal SVC . No pneumothorax detected . There are low inspiratory volumes , likely accentuating the cardiomediastinal silhouette and vascular markings . Allowing for this , cardiomediastinal silhouette is grossly unchanged . There is upper zone redistribution and diffuse vascular blurring , consistent with CHF . This appears slightly more pronounced than on the prior study . Possible small left effusion . There is increased retrocardiac density , with air bronchograms , consistent left lower lobe collapse and / or consolidation , similar to prior . There is patchy opacity at the right base .
    OUTPUT:
    
Apparent interval removal of ET tube . Clinical correlation requested , given the provided history . Low inspiratory volumes . Even so , there appears to be CHF , slightly worse . Left lower lobe collapse and / or consolidation . The differential includes an infectious pneumonic consolidation . Patchy opacity right base , non-specific in appearance . This could be early alveolar edema , though a focal pneumonic infiltrate or area of aspiration pneumonitis could also account for this appearance .