Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is top normal . ET tube is in standard position . NG tube tip is out of view below the diaphragm . . There is no pneumothorax or pleural effusion . There is mild vascular congestion . New widening of the mediastinum could be due to engorgement of the vessels , attention in followup is recommend . Perihilar opacities and left lower lobe opacities are likely atelectasis , aspiration should be considered
    OUTPUT:
    
New widened mediastinum Mild vascular congestion . Bilateral atelectasis . ? aspiration .