Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right costophrenic angle is excluded from the study , which is severely underpenetrated . A transesophageal catheter is present , extending to at least the level of the GE junction , however , the distal portion is difficult to assess due to underpenetration and overlying soft tissues . The lungs are underinflated . There is central pulmonary vascular congestion with mild - to - moderate pulmonary edema , with superimposed left basilar and right upper zone atelectasis . No pneumothorax is seen .
    OUTPUT:
    
Nasogastric tube extending to at least the level of the diaphragm ; however , the exact termination point is difficult to assess . Repeat images could be obtained in non-portable setting with better penetration . The initial findings were discussed by Dr . ___ with Dr . ___ ___ telephone at 11 :38 AM on ___ .