Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 6 .4 cm from the carina . Orogastric tube tip courses below the left hemidiaphragm , into the stomach , with tip projecting off the inferior borders of the film . The heart size is normal . The mediastinal and hilar contours are unremarkable . A deep left sulcus is noted concerning for a pneumothorax . No mediastinal shift is evident . The pulmonary vascularity is not engorged . Streaky bibasilar airspace opacities likely reflect atelectasis . No large pleural effusion is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Standard positioning of the endotracheal tube and orogastric tube . 2 . Deep left sulcus highly concerning for a pneumothorax . Findings discussed with Dr . ___ by Dr . ___ at 19 : 40 , ___ by telephone .