Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube tip is approximately 2 .4 cm above the carina . A right internal jugular catheter terminates in the expected location of the mid to low superior vena cava . An esophageal catheter terminates in the stomach with side port in the expected location of the gastroesophageal junction or distal esophagus . Additional thin wiring coursing along the expected location of the esophagus and terminating in the left upper quadrant may represent temperature probes , but this is indeterminate on this study ; 1 of these wires courses below the diaphragm and loops back superiorly to the level of the inferior heart . Mediastinal clips are seen . Additional metallic density hardware projects over the midline and right hilus . Lung volumes are low , exaggerating heart size . No pneumothorax is detected on this single supine view . There is a small right pleural effusion . Bibasilar atelectasis and perihilar atelectasis is seen . Vascular cephalization may be exaggerated by low lung volumes and supine positioning , but mild pulmonary vascular congestion is a consideration . Irregularity at the lateral right 5th rib may relate to a fracture . Chest CT is pending .
    OUTPUT:
    
1 . Endotracheal tube tip approximately 2 .4 cm above the carina . 2 . Esophageal catheter terminates in the region of the proximal stomach with side port in the expected location of the gastroesophageal junction or distal esophagus . Suggest advancement so that it is well within the stomach . 3 . Low lung volumes with small right pleural effusion , bibasilar atelectasis , and pulmonary vascular congestion . Aspiration can not be excluded as a cause of bibasilar opacities . 4 . Irregularity at the lateral right 5th rib may relate to a fracture . Chest CT is pending .