Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in place , terminating 3 .7 cm above the level the carina . Enteric tube courses through the esophagus , below the diaphragm , an out of view . The lung volumes are low , accentuating heart size , which is top - normal , and crowding of pulmonary vascular structures which may be mildly congested . No pneumothorax , overt pulmonary edema , or focal consolidation is seen . The left costophrenic sulcus is not visualized , possibly due to atelectasis and effusion .
    OUTPUT:
    
Monitoring and support devices in appropriate position . Low lung volumes with mild vascular congestion and possible small left pleural effusion .