IMPRESSION:
As compared to the previous radiograph, the tip of the endotracheal tube has
 been advanced. The tube now projects approximately 6 cm above the carinal.  .
 A further advancement by approximately 2 cm is recommended.  The bilateral
 chest tubes and the right internal jugular vein catheter are in unchanged
 position. The nasogastric tube is seen in its integrity, the tip projects over
 the middle parts of the stomach.  Unchanged appearance of the cardiac
 silhouette, including the pericardial drain, and of the lung parenchyma.