Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is seen terminating approximately 0 .9 cm above level carinal . It should be withdrawn approximately 3 cm for more optimal positioning . Enteric tube is seen coursing below the diaphragm , inferior aspect not included on the image . The aorta is calcified and tortuous . Prominence of the main pulmonary artery is noted which may be due to underlying pulmonary hypertension . The cardiac silhouette is top - normal . Splaying of the carina is seen which can be seen with left atrial enlargement . There is suggestion of possible mitral anulus calcification . Perihilar opacities , right greater than left may be due to asymmetric pulmonary edema however , underlying aspiration or infection may be present . No large pleural effusion is seen . There is no pneumothorax .
    OUTPUT:
    
Endotracheal tube somewhat low in position , terminating 0 .9 cm above the level of the carina , recommend withdrawal by approximately 2 - 3 cm for more optimal positioning . Enteric tube courses below the level of the diaphragm into the left abdomen , distal aspect not included on the image . Right greater than left perihilar and infrahilar opacities may be due to asymmetric pulmonary edema however , underlying aspiration and / or infection may be present . The above findings were discussed with Dr . ___ at 12 :20 p .m . on ___ by Dr . ___ via telephone . Splaying of the carina which can be seen with left atrial enlargement .