Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube ends 4 cm above the carina . The tip of the orogastric is not visualized , however , the tube extends at least to the gastroesophageal junction . Compared to the prior chest radiograph performed 4 hours ago the lung volumes are lower and moderate pulmonary vascular congestion is new . Bilateral lower lobe atelectasis has progressed . Allowing for lower lung volumes , the cardiac and mediastinal contours are likely stable . No large pleural effusion or pneumothorax . Multiple chronic appearing left lateral rib fractures are noted .
    OUTPUT:
    
The new endotracheal tube is in appropriate position . Moderate pulmonary vascular congestion is new .