Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube has been placed , which terminates approximately 4 cm above the carina . There is unfolding of the thoracic aorta . An orogastric tube has been passed into the stomach . There is some widening between the aortic contour and trachea with the esophageal tube coursing in between . Probably this will return out to be within normal limits , and could be seen with a tortuous aorta or prominent mediastinal fat , but the possibility of aortic pathology can not be excluded . Bilaterally , there is perihilar opacification , most suggestive of mild fluid overload or congestion , although other etiologies such as aspiration or pneumonia are not excluded . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Widened appearance of the mediastinum which may be an artifact , but correlation with history is recommended and if there is potential clinical concern for acute aortic pathology or other mediastinal pathology , then CT imaging could be considered . Perihilar fullness suggesting vascular congestion . Findings discussed with Dr . ___ at 12 a .m . on ___ .