Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the ET tube is located approximately 6 .7 cm above the carina just at the thoracic inlet . The tip of the Swan - Ganz catheter appears to extend just beyond the right descending pulmonary artery at the level of the right middle lobe pulmonary artery . The tip of the intra-aortic balloon pump appears high , likely at the level of the aortic arch . A nasogastric tube is present but its tip courses out of the field of view of exam . There are severe bilateral patchy opacities compatible with pulmonary edema . The mediastinal veins are distended compatible with cardiogenic shock . There are likely bilateral pleural effusions . No pneumothorax is seen .
    OUTPUT:
    
1 . Tip of the ET tube terminating 6 .7 cm above the carina just at the thoracic inlet . 2 . High position of the IABP with tip at the aortic arch and should be pulled back by 2 - 3 cm for more standard position . 3 . Severe bilateral pulmonary edema and small bilateral pleural effusions .