Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is still low , ending 1 .4 cm above the carina and should be retracted to avoid bronchial intubation . The new orogastric tube again is malpositioned in the the left main stem bronchus extending into the left lower lobe . Bilateral lung opacities are unchanged . A gastrostomy tube projects over the left upper quadrant .
    OUTPUT:
    
Malpositioned nasogastric tube located within the airway with the tip in the left lower lobe bronchus . No verbal communication was made as tube was removed at the time of this dictation .