Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the earlier film , a right IJ line , presumably the transvenous pacing wire , has been placed . The wire loops over the right heart . The tip likely overlies the right heart , question relation to the right atrium or the right ventricle , but is not fully localize on this examination . An ET tube is present , tip approximately 6 .6 cm above the carina , at the level of the mid clavicular heads . An orogastric type tube is present , looped over the expected site of the stomach and extending beyond the inferior edge of this film . An NG tube is present , tip not optimally demonstrated , but likely extending to the GE junction and very slightly beyond it . No obvious sideport is seen , but if present , the sideport is not extend beyond the GE junction . A left - sided central line is present , tip over mid SVC . No pneumothorax detected . There are low inspiratory volumes . Although the cardiomediastinal silhouette and upper zone vessels are prominent , they are likely accentuated by low lung volumes slight increased retrocardiac density consistent with left lower lobe collapse and / or consolidation . Otherwise , no focal infiltrates identified . Minimal atelectasis at the right lung base . No gross effusion or pneumothorax detected .
    OUTPUT:
    
Right IJ transvenous pacing wire looping over right heart . Exact location is not fully determined on the basis of this film . Additional lines and tubes as described . Low inspiratory volumes , with evidence for partial collapse / consolidation left lower lobe , not significantly changed .