Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated . The endotracheal ends 4 .3 cm above the carina . An orogastric tube follows its expected course although the tip is not visualized . A right Port - A - Cath and left internal jugular catheter end in the mid SVC . Small bilateral pleural effusions are unchanged on the left and slightly increased on the right with adjacent atelectasis . Retrocardiac opacity is likely atelectasis , but infection can not be excluded . Mild cardiomegaly persists . Soft tissue density adjacent to the lateral aspect of the aortic knob is newly appeared , unlikely to be caused by known prevascular lymph nodes . This in conjunction with the left pleural effusion are concerning for dissection .
    OUTPUT:
    
1 . Endotracheal tube ends 4 .3 cm above the carina . Orogastric tube follows the expected course . 2 . Small bilateral pleural effusions , increased on the right , with adjacent atelectasis . 3 . New soft tissue density adjacent to the aortic arch . This , in conjunction with the left pleural effusion , is of concern for dissection but could represent artifact . Further evaluation is recommended with repeat radiograph with less patient rotation or CTA . Findings and recommendations ___ by phone at 11 : 21 am ___ after attending review .