Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lordotic positioning . The patient is status post sternotomy . An orogastric - type tube is present , extending beneath the diaphragm , off the film . An ET tube is present , tip approximately 2 .6 cm above the carina . A right - sided PICC line is present , tip at SVC / RA junction . \ There is prominence of the cardiomediastinal silhouette , with sternotomy wires , unchanged . There are low - inspiratory volumes . There is left lower lobe collapse and / or consolidation , probably with a small left effusion . There is upper zone redistribution , consistent with vascular plethora , although likely accentuated by low lung volumes . Patchy opacity right lung base .
    OUTPUT:
    
Compared with ___ at 17 :33 p .m . , no gross interval change .