Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal upright view of the chest was obtained portably . The endotracheal tube ends 5 .1 cm above the carina . Dual - chamber pacemaker leads end in the right atrium and right ventricle . Otherwise , there is no change from 4 :35 a .m . in diffuse bilateral opacities . Retrocardiac atelectasis is unchanged . The heart is moderately enlarged . There are probably small bilateral pleural effusions .
    OUTPUT:
    
ETT ends 5 .1 cm above the carina . Otherwise , no change from 4 :35 a .m .