Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present --___ tip lies approximately 3 .5 cm above the carina . An OG type tube is present , tip extends beneath the diaphragm into the abdomen and overlies the stomach . There is slightly rotated positioning . Allowing for this , the cardiac silhouette is markedly abnormal and it is difficult to completely characterize the visualized contours . There is probable cardiomegaly . There is splaying of the carina consistent with left atrial enlargement . The aortic arch is top normal in size , measuring up to 3 .9 cm . The possibility of more dilated areas in the adjoining descending aorta can not be excluded . The hila are not well delineated and could very well be enlarged . No apical capping is identified . In addition , there is diffuse vascular plethora and alveolar opacity . There are probable layering effusions on both sides with underlying collapse and / or consolidation .
    OUTPUT:
    
1 . ET an OG tube in satisfactory position . 2 . Markedly abnormal and enlarged cardiomediastinal silhouette . The possibility of aneurysmal dilatation of the aorta can not be excluded . 3 . Vascular plethora and diffuse alveolar opacities . This is compatible with pulmonary edema , but other causes of alveolar opacities can not be excluded . 4 . Bilateral effusions and underlying collapse and / or consolidation .