Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is seen , the tip is estimated 4 .5 cm from the carina which is not clearly delineated on this exam . Extremely low lung volumes are noted with probable bibasilar atelectasis . Enteric tube seen in the region of the gastric body . Left chest wall dual lead pacing device is again identified .
    OUTPUT:
    
Limited exam with endotracheal tube tip approximately 4 .5 cm from the carina which is not particularly well seen .