Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 5 cm from the carina . An enteric tube tip is within the stomach . The heart size is normal . Mediastinal and hilar contours are unremarkable . There is mild pulmonary vascular congestion with trace left pleural effusion . Patchy atelectasis is likely present in the lung bases . No pneumothorax is identified . No acute osseous abnormalities are present . Punctate radiopaque densities are seen projecting over the left axilla , not seen on the scout view from the previous head CTA .
    OUTPUT:
    
1 . Standard positioning of the endotracheal and enteric tubes . 2 . Mild pulmonary vascular congestion and trace left pleural effusion . 3 . Punctate radiopaque densities projecting over the left axilla , likely external to the patient , as these were not seen on the scout view from the previous head CTA .