Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Slightly rotated positioning . An ET tube is present , tip approximately 5 .0 cm above the carina . An NG tube is present , tip and sideport overlying the stomach . A right IJ central line is present , tip overlying the distal SVC . A pigtail catheter overlies the left lung . There is extensive subcutaneous emphysema about the chest , left - greater - than - right . This obscures the presence of a subtle pneumothorax , particularly as the patient is supine and no lateral view is available . Allowing for this , no gross pneumothorax is identified . The cardiomediastinal silhouette remains midline . There is hazy and somewhat patchy opacity at both lung bases and probably also a smaller area of faint patchy opacity in the right upper zone . The right and question left cardiophrenic angles are obscured . There is upper zone redistribution and minimal vascular plethora .
    OUTPUT:
    
Left pigtail catheter in place . Extensive subcutaneous emphysema . No gross pneumothorax , but a subtle or anterior pneumothorax may not be apparent . Patchy opacities at both bases are compatible with pneumonic consolidation though atelectasis could be contributing to some degree . Possible small right and equivocal small left effusion . Upper zone redistribution and mild vascular plethora , consistent with early CHF . Small patchy opacity in the right upper zone appears new or more pronounced compared with the film from 1 day earlier , question atelectasis , new focal infiltrate , or area of aspiration pneumonitis . It could also represent an early area of more confluent CHF .