Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated . The endotracheal tube terminates approximately 3 cm above the carina . A right internal jugular central venous catheter terminates in the right atrium . The azygos contour is prominent , which may indicate some degree of fluid overload . The left hemidiaphragm appears elevated , which may be a more chronic finding , but possibly due to atelectasis and volume loss , otherwise not well assessed . Small pleural effusions are difficult to exclude . A mild interstitial abnormality suggests pulmonary vascular congestion , but not severe . There is moderate - to - severe S - shaped curvature to the thoracolumbar spine . A large bubble - like lucency projecting over the epigastrium may be due to gastric or colonic distention . Bones appear demineralized .
    OUTPUT:
    
Findings suggesting mild vascular congestion . Possible gastric or colonic dilatation . Elevated left hemidiaphragm . Scoliosis .