Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Three AP views of the chest were provided . Initially , the endotracheal tube was positioned at the carina . The endotracheal tube was subsequently retracted with its final position at approximately 2 .3 cm above the carina . The NG tube is seen extending into the left upper abdomen . Dual - lead pacer is positioned with its leads in the expected position of the right atrium and right ventricle . Perihilar opacity is noted , likely aspiration or atelectasis . There is no supine evidence for pneumothorax or effusion . The cardiomediastinal silhouette appears grossly unremarkable . No acute bony abnormalities are seen .
    OUTPUT:
    
Appropriately positioned endotracheal and nasogastric tubes with aspiration / atelectasis better assessed on subsequent CT chest .