Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates 3 .6 cm from the carina . An orogastric tube is noted which courses below the diaphragm , and into the stomach , with the tip off the inferior borders of the film . Left - sided dual - chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle . The cardiac , mediastinal and hilar contours are normal . Pulmonary vasculature is normal . Streaky opacities in the left lung base likely reflect atelectasis . No focal consolidation , large pleural effusion or pneumothorax is demonstrated . No acute osseous abnormalities are seen .
    OUTPUT:
    
Standard positioning of the endotracheal and orogastric tubes .