Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of an endotracheal tube which projects over the mid thoracic trachea , tip approximately 4 .5 cm above the carina . The tip of the feeding tube projects over the distal esophagus . The right PICC line extends to the superior cavoatrial junction . Grossly unchanged pleural effusion with associated atelectasis . Patchy opacities at the left lung base are unchanged . No pneumothorax identified . The size of the cardiomediastinal silhouette is enlarged but unchanged .
    OUTPUT:
    
Interval placement of an endotracheal tube and feeding tube . The feeding tube extends to the distal esophagus and should be advanced . Findings were communicated to and acknowledged by ___ , MD at ___ by ___ ___ , MD .