FINDINGS:
Interval change an ETT placement is seen with tube projecting approximately
 3.5 cm above the carina.  Moderate cardiomegaly is unchanged.  Low lung
 volumes are seen with left lower lobe atelectasis.  Stable pulmonary vascular
 congestion is again seen without evidence of pulmonary edema.  Again seen is a
 right jugular introducer sheath extending to the mid SVC.

IMPRESSION:
1. Interval adjustment of ET tube now projecting approximately 3.5 cm above
 the carina.
 2. Stable left lower lobe atelectasis and pulmonary vascular congestion
 without pulmonary edema.