Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip is in appropriate position 4 .5 cm cranial to the carina . NG tube tip terminates at least within the mid gastric body , with tip outside of field - of - view . Lung volumes are low accentuating the cardiac silhouette and hilar contours , though there appears to be a degree of central pulmonary vascular congestion with increased density in the infrahilar left lower lobe though subsequent radiograph demonstrates no pneumonia . Heart size is normal . Prominence of the central pulmonary vascular structures is likely secondary to low lung volumes . Lungs are grossly clear . Pleural surfaces are clear without effusion or pneumothorax .
    OUTPUT:
    
Endotracheal tube in appropriate position . Central pulmonary vascular congestion .