Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a endotracheal tube which terminates approximately 7 .4 cm above the carina , with distal tip of the tube at the inferior edge of the medial clavicular heads . There has also been interval placement of a nasogastric tube which appears to terminate below the level of the diaphragm and outside the view of this radiograph . Of note , the inferior edge of this film probably lies in the region of the GE junction . Otherwise , no gross interval change is detected compared with the chest radiograph performed 30 minutes earlier . Again seen is cardiomegaly , with pulmonary edema . There has probably been slight improvement in the appearance of the right upper lobe . Possible slight improvement in the degree of interstitial edema in the left upper lobe . Left - sided pacemaker device again noted , with 2 leads in appropriate position .
    OUTPUT:
    
Interval placement of endotracheal tube and nasogastric tube , detailed above . Possible slight interval improvement in pulmonary edema findings , but the overall appearance is quite similar .