Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of an Impella device which appears in satisfactory position . The tip of the right transjugular Swan - Ganz catheter extends to the the right pulmonary artery , projecting over the right hilum . The tip of the endotracheal tube projects 1 .6 cm from the carina and could be retracted slightly . A gastric tube is looped in the stomach . Low bilateral lung volumes . Unchanged retrocardiac opacity likely reflects pleural fluid and atelectasis . Minimal right basilar atelectasis is present as well . No pneumothorax identified . The appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Interval placement of a right internal jugular Swan - Ganz catheter and Impella device as described above . The tip of the endotracheal tube projects 1 .6 cm from the carina and could be retracted slightly .