Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is enlarged with mild vascular congestion without frank edema . Lungs are clear . There is no large pleural effusion or pneumothorax . Endotracheal tube is in place , 4 cm cranial to the carina ; however , the endotracheal cuff is inflated to a greater diameter in the trachea . A right internal jugular sheath is in place .
    OUTPUT:
    
Endotracheal tube appropriately positioned but with overinflated cuff . Mild vascular congestion without frank edema . Results were discussed over the telephone with Dr . ___ by ___ at 4 :27 p .m . on ___ at the time of initial review .