Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is noted with the tip projecting over the mid thoracic trachea . There is moderate cardiomegaly , moderate pulmonary vascular congestion and interstitial pulmonary edema . A small - moderate right pleural effusion with adjacent atelectasis is noted . There is no large pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly , pulmonary edema , and a small - moderate right pleural effusion .