IMPRESSION:
AP chest reviewed in the absence of prior chest radiographs:
 
 Tip of the endotracheal tube at the thoracic inlet is no less than 5 cm from
 the carina.  Lung volumes are low.  Vascular congestion in the left lung could
 be a transient phenomenon and should be reevaluated.  Heart size normal.  No
 pneumothorax or substantial pleural effusion.