Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is in place , tip lies approximately 4 .6 cm above the carina . An NG tube is present , difficult to trace . It appears to extend to the inferior edge of this film . However , the inferior edge of this film lies above the expected level of the GE junction . The side port likely lies immediately above the GE junction . The cardiomediastinal silhouette is similar to the prior film . Sternotomy wires and pacemaker again noted . Again seen is left lower lobe collapse and / or consolidation . Right cardiophrenic atelectasis is also present . There are low lung volumes , with mild vascular plethora . Small bilateral effusions can not be excluded .
    OUTPUT:
    
1 . If clinically indicated , recommend repeat frontal chest radiograph , centered closer to the diaphragms , to better assess the position of the NG tube . On the current film , the tip appears to extend to the inferior edge of the film , which itself likely corresponds the level of the GE junction . 2 . Continued left lower lobe collapse and / or consolidation . 3 . Probable CHF , similar to the prior film , though this appearance may be accentuated by slightly low lung volumes .