Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated . The endotracheal tube terminates about 3 cm above the carina . The cardiac , mediastinal and hilar contours appear unchanged . There is a recurrent collection of air projecting along the lower mediastinum bilaterally . There are moderate to large bilateral pleural effusions , more prominent on the right than left with patchy opacities in the medial lower lung suggesting atelectasis . Other etiologies such as pneumonia and aspiration can not be excluded , however . Contrast from barium study projects over the left mid abdomen . In addition , the right upper quadrant shows some air in a geographic distribution suggesting residual pneumoperitoneum but potentially increased . Pneumomediastinum also persists .
    OUTPUT:
    
Status post endotracheal intubation . Findings which suggesting a large air pocket in the lower mediastinum , which may reflect a dilated viscus or extraluminal air - fluid collection , as well as persistent and potentially increased intraperitoneal air ; correlation to CT performed on the same day is recommended . Moderate to large suspected pleural effusions with parenchymal opacities at the lung bases probably atelectasis . Differential considerations include aspiration and pneumonia are not excluded , however . Case discussed with Dr . ___ at 7 pm in person .