Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 4 cm from the carina . Enteric tube courses below the left hemidiaphragm and into the stomach . Right subclavian central venous catheter appears to be malpositioned coursing cephalad into the right internal jugular vein . Right - sided dual lumen central venous catheter is demonstrated with leads terminating in the right atrium and right ventricle , unchanged . Heart size is mildly enlarged , increased compared to the previous exam . The aorta is diffusely calcified . Widening of the superior mediastinum is likely due to supine positioning . Mild pulmonary edema is present . Streaky atelectasis is noted in both lung bases , more pronounced on the left . No large pleural effusion or pneumothorax is present , though hazy opacities bilaterally in the lungs may suggest small layering pleural effusions . No large pneumothorax is identified on this supine image . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Malpositioned central venous catheter with tip coursing cephalad into the right internal jugular vein . 2 . Standard position of the endotracheal and enteric tubes . 3 . Increased size of the cardiac silhouette and mild pulmonary edema with likely layering bilateral pleural effusions indicate congestive heart failure . 4 . Bibasilar atelectasis .