Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip is approximately 5 cm above the carina and orogastric tube courses below the diaphragm ; however , its distal end is off the radiographic view . Apart from preexisting two chest tubes on the right side and a chest tube on the left side , there are two new mediastinal drain tubes , one ending in the lower mediastinum , while another is in the upper medistinum . Since yesterday , there has been a substantial improvement in the widened mediastinum concerning for hematoma , which is mostly from post - surgical evacuation , as reflected by an open sternum with skin ___ . There has been significant improvement in the moderately severe pulmonary edema and residual opacity in the right upper - mid lung is a combination of hemorrhage / atelectasis . Left apical pneumothorax is small . Pleural effusions , if any , are minimal bilaterally .
    OUTPUT:
    
Since yestarday , following surgical evacuations , widened mediastinum secondary to hematoma and moderately severe pulmonary edema have substantial improved and small left apical pneumothorax is new . Residual right upper - mid lung opacity is mostly combination of hemorrhage and / or atelectasis .