Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is 4 .5 cm above the Carina . NG tube tip is in the stomach . Hardware projects over the lumbar spine with associated skin ___ . Sternal wires are again visualized . Lung volumes are low and there is volume loss at the bases . There is a more focal area of opacity obscuring the left CP angle that could be volume loss / infiltrate / effusion
    OUTPUT:
    
Left lower lobe volume loss / infiltrate / effusion