Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 3 .2 cm above level the carina . Enteric tube courses below the level of the diaphragm , terminating in the left upper quadrant expected location of the stomach . There is a moderate left pneumothorax with the left chest catheter in place . Large lucency projects over the lower left hemi thorax concerning for large loculated component of pneumothorax . The mediastinum is shifted to the right . There is also widening of the rib interspaces on the left compared to the right , and flattening of the left hemidiaphragm , consistent with tension . There is diffuse opacity projecting over the right lung and to a lesser extent the left lung which may be due to massive aspiration , pulmonary hemorrhage , extensive infection . Right internal jugular central venous catheter terminates in the low SVC . The cardiac silhouette is top - normal . Mediastinal contours are unremarkable . There is extensive left chest wall subcutaneous emphysema .
    OUTPUT:
    
Moderate left tension pneumothorax with catheter in place however , there appears to be a large loculated component projecting over the left lower hemithorax . Endotracheal and enteric tubes in appropriate position . Extensive opacity projecting over the right greater than left lungs could be due to extensive aspiration neck , pulmonary hemorrhage , infection , ARDS . Extensive left chest wall subcutaneous emphysema