Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube has been placed . The tip is approximately 4 .5 cm from the carina . Enteric tube is seen passing below the inferior field of view . Vascular stent again noted in the right brachiocephalic vein / SVC region . Degree of cardiomegaly and pulmonary vascular congestion is unchanged given differences in positioning and inspiratory volume . Blunting of the right costophrenic angle may be due to superimposed effusion .
    OUTPUT:
    
Interval placement of ET and NG tubes as above , otherwise no change .