Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip projects approximately 4 cm above the carina . An esophageal catheter courses below the diaphragm , likely within the stomach . There is marked elevation of the left hemidiaphragm with bowel / stomach underneath , query diaphragmatic hernia / injury , with subsequent shift of the mediastinum to the left . The visualized portions of lung demonstrate no evidence for focal consolidation , pleural effusion , or pneumothorax . The aorta is calcified and tortuous .
    OUTPUT:
    
1 . Endotracheal tube tip projecting 4 cm above the carina . 2 . Marked elevation of the left hemidiaphragm with likely stomach and / or bowel beneath . Query diaphragmatic hernia , diaphragmatic injury / rupture can not be excluded . Recommend clinical correlation , correlation with any prior chest imaging , and consider CT for further evaluation . Findings discussed with Dr . ___ at 5 :40 PM on ___ via telephone by Dr . ___ .