Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable supine view of the chest . ET tube is seen with its tip positioned 8 cm above the carinal . An NG tube courses inferiorly with its tip in the expected region of the distal esophagus . AICD noted though the tip is not clearly visualized . Overlying defibrillator pad is seen . Diffuse pulmonary opacities concerning for pulmonary edema . The possibility of aspiration or pneumonia difficult to exclude . Bilateral pleural effusions are likely present . The heart size can not be assessed . Evaluation for in pneumothorax is limited on this supine radiograph . No acute osseous abnormalities are detected .
    OUTPUT:
    
Lines and tubes positioned as described . Consider advancement of NG tube for more optimal positioning . Bilateral pleural effusions , severe pulmonary edema , can not exclude pneumonia .