Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated . The endotracheal tube terminates about 5 cm above the carina . An orogastric tube courses into the stomach . It s sidehole indicator lies at approximately the gastroesophageal junction . The patient is status post sternotomy . Dual - lead pacemaker / ICD device appears unremarkable with leads terminating in the right atrium and ventricle . On the right , there is probably a very small pleural effusion with opacity most suggestive of atelectasis the right lung base . On the left , there is a moderate pleural effusion with mild volume loss observed probably at least substantial atelectasis involving basilar parts of the left lower lobe and the inferior part of the lingula . The bones appear demineralized .
    OUTPUT:
    
Substantial left - sided pleural effusion . Basilar opacities probably due to atelectasis . Orogastric tube terminating at the gastroesophageal junction ; it could be advanced further if gastric placement is desired .