Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged , which could be caused be due to longstanding cardiomegaly or pericardial effusion . There is central pulmonary vascular congestion . There is streaky right lower lobe atelectasis , but no focal consolidation . The endotracheal tube terminates 4 .5 cm above the carina . The nasoenteric tube courses below the left hemidiaphragm and out of view .
    OUTPUT:
    
1 . Endotracheal tube terminates 4 .5 cm above the carina . 2 . Moderate enlargement of the heart may be due to cardiomegaly or pericardial effusion . 3 . No focal consolidation .