Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is somewhat limited due to patient rotation . Endotracheal tube tip terminates 4 .5 cm from the carina . Right internal jugular central venous catheter tip terminates in the proximal right atrium . A orogastric tube tip courses below the diaphragm , into the stomach , and off the inferior borders of the film . Lung volumes are low . There is moderate to severe cardiomegaly . Widening of the superior mediastinum may be due to low lung volumes and supine positioning . There is mild pulmonary vascular engorgement . Consolidative opacities in the lung bases are concerning for areas of infection . Patchy opacities in the left lung as well as in the right upper lung field may reflect areas of infection or aspiration . No large pleural effusion or pneumothorax is demonstrated . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Standard position of the endotracheal and orogastric tubes . Right internal jugular central venous catheter tip in the proximal right atrium . 2 . Moderate to severe cardiomegaly with mild pulmonary vascular engorgement . 3 . Bibasilar consolidative opacities concerning for infection . Additional ill - defined opacities within the left lung and right upper lung field may reflect additional areas of infection or aspiration . 4 . Widening of the superior mediastinum may be due to supine positioning and low lung volumes . If there is concern for an acute aortic process , further assessment with CT is recommended .