Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is seen , terminating 1 cm above the level of the carina . Recommend withdrawal by approximately 2 .5 - 3 cm for more optimal positioning . A nasogastric tube is seen coursing below the level of the diaphragm , inferior aspect not included on the image . There is left base retrocardiac opacity and subtle increased opacity projecting over the left lung which may be due to layering pleural effusion . Left base atelectasis or consolidation is not excluded . No evidence of pneumothorax is seen . The cardiac silhouette is top normal . The aorta is calcified . The bones are osteopenic . Degenerative changes are seen at the shoulder joints , partially imaged . There appears to be external artifact that overlies the right hemithorax . A left - sided PICC terminates high in position , in the region of the left subclavian vein .
    OUTPUT:
    
1 . Low - lying endotracheal tube , terminating approximately 1 cm above the level of the carina . Recommend withdrawal by 2 .5 - 3 cm . Nasogastric tube is seen coursing below the level of the diaphragm , inferior aspect not included on the image . Left PICC line is high in position , terminating in the region of the left subclavian vein . The above findings were discussed with ___ on ___ at 11 :30 a .m . via telephone , 5 minutes after discovery . 2 . Left retrocardiac opacity and increased haziness of the left hemithorax may be due to layering pleural effusion . Left base atelectasis and / or consolidation not excluded .