Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is moderate decompensated congestive heart failure . The patient is now intubated and the endotracheal tube is appropriately positioned , approximately 5 .5 cm above the carina . An orogastric tube terminates appropriately within the stomach . The study is otherwise unchanged .
    OUTPUT:
    
Appropriately positioned support devices . Otherwise unchanged examination .