Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of an endotracheal tube ending approximately 3 .4 cm above the carina . An enteric tube courses below the diaphragm and out of view on this image . A left pectoral pacemaker with dual leads terminating in the right atrium and right ventricle is unchanged . The lungs remain hyperinflated with flattening of the bilateral hemidiaphragms , compatible with COPD . Small bilateral pleural effusions are unchanged . There is no interval change in mild pulmonary vascular congestion / interstitial edema . Streaky opacities in the bilateral bases likely reflect atelectasis . The cardiac silhouette is enlarged but stable . The mediastinal and hilar contours are within normal limits .
    OUTPUT:
    
1 . Interval endotracheal and enteric tube placement , as above . 2 . Unchanged pulmonary vascular congestion / interstitial edema and small bilateral pleural effusions .