Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of an endotracheal tube with tip approximately 2 .9 cm from the carina , slightly low lying . Orogastric tube tip terminates in the distal esophagus and should be advanced by at least 12 cm . Lung volumes are low . This accentuates the size of the cardiac silhouette which is mildly enlarged . The aorta is tortuous . There is crowding of the bronchovascular structures with possible mild pulmonary vascular congestion . Small left pleural effusion is noted . Streaky opacity in the left lung base likely reflects an area of atelectasis . Extensive degenerative changes are noted in the thoracic spine . No acutely displaced fractures are seen .
    OUTPUT:
    
1 . Slightly low lying endotracheal tube with tip approximately 2 .9 cm from the carina . 2 . Malpositioned orogastric tube with tip in the distal esophagus . This should be advanced by at least 12 cm for optimal positioning . 3 . Low lung volumes with left basilar atelectasis and small left pleural effusion . Possible mild pulmonary vascular congestion .