Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is positioned high , approximately 7 cm from the carina . An enteric tube courses below the diaphragm with the tip out of the field of view . The lung volumes are low . Bibasilar atelectasis is unchanged . Since the prior exam , there has been a slight interval worsening of the vascular congestion and mild pulmonary edema . There is no opacity to suggest pneumonia . No pleural effusion or pneumothorax is identified . Widening of the mediastinal contours is unchanged , and likely due to mediastinal fat , as seen on the prior CT . The heart appears slightly larger .
    OUTPUT:
    
1 . Slight interval worsening of vascular congestion and mild pulmonary edema . Additionally , the heart appears slightly larger . 2 . High position of the endotracheal tube , 7 cm from the carina . Advance 2 - 3 cm for more secure placement .