Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . An ET tube is present , tip 1 .9 cm above the carina , borderline low . An enteric type tube is present , tip extending beneath diaphragm , off film . On the prior film , there was a right - sided PICC line that coursed cephalad into the neck . This has been retracted . The PICC line is seen over the axilla . The tip is not well delineated -- it either overlies the axilla immediately outside the right chest wall or overlies the upper right lung . It does not reach the SVC . There are moderate left - greater - than - right effusions , with underlying collapse and / or consolidation , similar to the prior film . This , together with the patient rotation , makes it difficult to evaluate the cardiomediastinal silhouette , but no obvious change is identified . Prominence of the left paratracheal soft tissues is well less well delineated due to rotation , but is likely still present . There is CHF with vascular plethora and vascular blurring . Note is made of relative lucency at the right lung apex , but there is no lining of the lung edge to suggest a pneumothorax there .
    OUTPUT:
    
1 . ET tube tip 1 .9 cm above the carina , borderline low . 2 . PICC line has been repositioned --___ either immediately outside right chest or overlying upper right lung . It does not reach the SVC . 3 . CHF with interstitial edema , similar to the prior film . 4 . Bilateral effusions with underlying collapse and / or consolidation , also similar to the prior film . 5 . Rotation limits evaluation of the mediastinum . Prominence of left paratracheal soft tissues likely still present .