Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph . Nasogastric tube courses into the stomach . Endotracheal tube terminates 1 .9 cm above the carina and should not be advanced any further . While it is likely in satisfactory position , it is difficult to ascertain on this image if the head is flexed or extended . The lungs are slightly low in volume . Multifocal interstitial and parenchymal abnormalities are nonspecific and could reflect asymmetric pulmonary edema with a slight left - sided predominance . Fullness of the AP window and hila may reflect coexistent adenopathy , which could be confirmed with post-treatment radiographs . There is no pleural effusion or pneumothorax . The heart is enlarged , particularly the left atrium given splaying of the carina .
    OUTPUT:
    
1 . Multifocal interstitial and parenchymal abnormality may reflect asymmetric edema 2 . ET tube is 1 .9 cm above the carina and should not be advanced further ; though the exact tube position is uncertain given unclear head position . 3 . Fullness of hila and AP window can be reassessed after treatment . Findings discussed with Dr . ___ by Dr . ___ by phone at ___ on ___ .