Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube tip projects approximately 3 .5 cm above the carina . An esophageal catheter courses below the diaphragm with tip out of view . Lung volumes are low with moderate bilateral pleural effusions and bibasilar atelectasis . No pneumothorax is detected on these views . Acute left - sided rib fractures with large adjacent hematoma are better seen on prior CT .
    OUTPUT:
    
Low lung volumes with increased basilar atelectasis and bilateral moderate pleural effusions . Acute left rib fractures with adjacent hematoma .