Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Supine portable AP view the chest provided . An endotracheal tube is seen with its tip located approximately 2 .7 cm above the carina . An NG tube is seen coursing inferiorly with its tip at the GE junction . Midline sternotomy wires are noted . There is a left chest wall pacer device with leads in the region of the right atrium and right ventricle . There is bilateral hilar / perihilar opacity which is somewhat unusual in overall appearance and raises potential concern for adenopathy . There is a small left pleural effusion with left basal opacity likely atelectasis . The heart is mildly enlarged . Bony structures are intact .
    OUTPUT:
    
ET tube positioned appropriately . NG tube tip positioned at the GE junction . Recommend advancement . Small left pleural effusion with mild cardiomegaly . Hilar opacities , question adenopathy . Please correlate clinically , consider CT to further assess .