Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 3 cm from the carina . A catheter courses along the left aspect of the chest , presumably a VP shunt catheter . Heart size is normal . Mediastinal and hilar contours are unremarkable . Low lung volumes are present . Streaky opacities in the lung bases likely reflect areas of atelectasis . Small left pleural effusion is present . No pneumothorax or pulmonary vascular congestion is identified . No acute osseous abnormality is detected . Multiple radiopaque punctate foreign bodies are seen projecting over the right hemithorax and right shoulder , presumably shrapnel .
    OUTPUT:
    
1 . Endotracheal tube in standard position . 2 . Low lung volumes with bibasilar atelectasis and small left pleural effusion .