Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is in place roughly 6 .5 cm cranial to the carina . Left internal jugular approach central venous catheter is in place terminating at the brachiocephalic confluence . Upper enteric tube tip is outside of field - of - view , terminating at least within the gastric body . Left base chest tube is in place . There is no large pneumothorax . There are prominent bilateral lower lobe opacities . Lung apices are clear . No large pleural effusion .
    OUTPUT:
    
1 . Bilateral lower lobe pneumonia or aspiration . 2 . Endotracheal tube placement is somewhat high , recommend advancement by 2 cm . 3 . Left IJ central venous catheter tip terminates at the brachiocephalic confluence .