Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present , tip approximately 5 .4 cm above the carina . An NG tube is present -- the tip is poorly visualized over the lower mediastinum but probably extends beneath the diaphragm . A left IJ central line is present -- it s position is similar to the film from ___ at 2 : 15 a .m . , perhaps slightly retracted compared with then . It s position is not fully characterized on this film -- it does not extend into the SVC , but may overlie the innominate vein . A dual - lumen right - sided central line is present , tips over mid / lower SVC and distalmost SVC near RA junction . Again seen is moderately - severe cardiomegaly , with increased interstitial and alveolar markings , suggesting CHF and pulmonary edema . There is a small right effusion with underlying collapse and / or consolidation . Increased retrocardiac density , consistent with bibasilar collapse and / or consolidation . The possibility of background acute or chronic process is difficult to exclude .
    OUTPUT:
    
1 . Pulmonary edema , similar or possibly slightly improved compared with one day earlier . 2 . Probable bibasilar collapse and / or consolidation . 3 . Lines and tubes , as described . Left IJ line has been similar over several films , but does not reach SVC .