Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube lies approximately 4 .1 cm above the carina , at the level of the inferior edge of the clavicular heads . The OG tube extends beneath the diaphragm , off film . Again seen are hazy bibasilar opacities . On the right , the right hemidiaphragm itself is now visible , although there is likely some layering fluid . There is continued retrocardiac opacity with obscuration left hemidiaphragm and probable layering left pleural effusion . Vascular plethora seen in the upper portion of both lungs is compatible with CHF .
    OUTPUT:
    
The ET - tube appears to have been advanced slightly , based on its relation to the clavicular heads . It now measures 4 .1 cm above the carina . The OG tube and its sideport both extend beneath the diaphragm , beyond the inferior edge of these images . Continued cardiomegaly , bibasilar opacities , and CHF , detailed above .