Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates 4 .7 cm from the carina . An enteric tube tip is within the stomach . Left - sided pacer device is noted with leads terminating in the right atrium and right ventricle . Moderate enlargement of cardiac silhouette persists . Mediastinal contour is unchanged with atherosclerotic calcifications noted at the aortic knob . There is mild pulmonary vascular congestion . Hazy opacity within the right hemithorax is compatible with a layering right pleural effusion . Bibasilar atelectasis is demonstrated . No pneumothorax is visualized on this supine exam .
    OUTPUT:
    
Standard positions of the endotracheal and enteric tubes . Layering right pleural effusion .