Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube ends 5 .8 cm above the carina . Enteric tube extends below the diaphragm and out of view . The cardiac silhouette is enlarged . There are bilateral lower lung predominant opacities with air bronchograms on the left . No pneumothorax . No large right pleural effusion . Possible small left pleural effusion .
    OUTPUT:
    
1 . ET tube and enteric tube in expected position 2 . Enlarged cardiac silhouette could reflect cardiomegaly ; although , a pericardial effusion could have a similar appearance . 3 . Bilateral lower low on the opacities could reflect infection , effusion , aspiration and / or edema .