Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube has been placed that terminates approximately 3 cm above the carina . An orogastric tube has been placed that terminates immediately above the stomach , probably in the distal esophagus . A left - sided PICC line remains in place , but with a turn and its tip projecting upward , likely terminating in the azygous vein . There are increasing moderate to large pleural effusions , particularly prominent on the right , as well as considerable worsening of hazy pulmonary opacification with an interstitial abnormality most suggestive of pulmonary edema . There is no pneumothorax .
    OUTPUT:
    
1 . Status post endotracheal intubation . 2 . New orogastric tube terminating likely in the distal esophagus . If gastric placement is desired , then advancing the tube by approximately 10 cm is suggested . 3 . PICC line in place with tip projecting over the mid superior vena cava , possibly with the tip flipped upward or more likely with azygos vein placement . 4 . Findings suggest moderate worsening pulmonary edema , with increasing pleural effusions , particularly on the right side . Findings discussed with Dr . ___ at 2 am on ___ by telephone .