Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Slightly oblique positioning . Lines and tubes overlie the chest . In this setting , the extreme tip of the ET tube is not well delineated . It appears to lie approximately 4 .3 cm above the carina . An NG tube is present , tip extending beneath diaphragm , off film . An additional ___ / oral gastric tube also courses beneath the diaphragm , off the film . A right IJ line tip overlies the distal SVC . A right subclavian PICC type line tip lies at the level of the SVC / RA junction . There is upper zone redistribution and mild diffuse vascular blurring . There is patchy retrocardiac opacity and a small pleural effusion or pleural thickening at the left base , unchanged . The nodular density seen at the left base on the film from ___ at 11 :29 a .m . is less apparent on today 's exam , probably obscured . The right lung is without focal consolidation or effusion . The tracheal air column and the presence or absence of some mediastinal air can not be assessed on this exam due to oblique positioning .
    OUTPUT:
    
1 . Lines and tubes as described . Of note , the PICC line lies in the region of the SVC / RA junction . 2 . Mild pulmonary vascular plethora without other evidence of CHF . 3 . Patchy opacity left base consistent with small left effusion , unchanged .