Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 4 .1 cm from the carina . A nasogastric tube is seen coiled within the stomach , with the tip likely projecting off the inferior borders of the film . The heart size is mildly enlarged . There are low lung volumes . The aorta is tortuous with diffuse calcifications of the thoracic aorta noted . Patchy opacity in the left lung base is present . No large pleural effusion or pneumothorax is identified . There is mild engorgement of the pulmonary vascularity , but no frank pulmonary edema is seen . No pneumothorax is identified . There appears to be free intraperitoneal air beneath the right hemidiaphragm . No acute osseous abnormality is seen , though there appears to be an old right - sided rib fracture .
    OUTPUT:
    
1 . Pneumoperitoneum . 2 . Endotracheal tube and nasogastric tubes in standard positions . 3 . Low lung volumes with left basilar atelectasis .