Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube terminates 5 cm above the carina . Nasogastric tube passes into the distended stomach , tip off the inferior margin of the film . Lung volumes are low . Even accounting for this , there is cardiomegaly that appears worsened from one day prior . Additionally , there is widening of the vascular pedicle , compatible with central vascular congestion , as well as small right and possible left pleural effusion . In this setting , and given the relative normal appearance of the lungs on recent comparison studies , diffuse parenchymal opacities most likely reflect pulmonary edema . There is no pneumothorax . There is no free air is seen in the upper abdomen .
    OUTPUT:
    
1 . Adequate positioning of endotracheal and nasogastric tubes . 2 . Cardiomegaly , small effusions , and moderate pulmonary edema are new from one day prior , all suggesting overhydration . Discussed with Dr . ___ at 11 :30 a .m . on ___ by Dr . ___ ___ phone .