Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated . The right internal jugular venous catheter tip ends in the mid SVC . ET tube tip that the upper margin of the clavicles is no less than 7 cm from the carina with the chin in neutral or mild flexion . It could be advanced 2 cm for more secure seating . . Lung volumes remain low . Pulmonary vessels are prominent . Pulmonary edema has progressed and is moderate . Small left pleural effusion is overall unchanged . No right effusion . The heart is mild - to - moderately enlarged , unchanged . Respiratory tubing projects over the left upper hemithorax , limiting evaluation . No pneumothorax .
    OUTPUT:
    
Progressive heart failure or volume overload . ET tube 2 cm above optimal position .