Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 10 :02 is submitted .
    OUTPUT:
    
The left subclavian PICC line now has its tip in the proximal SVC . Interval placement of an endotracheal tube that has its tip at the carina heading toward the proximal right mainstem bronchus and needs to be pulled back 3 - 4 cm . A nasogastric tube is now seen coursing below the diaphragm with the tip not identified . A biliary stent is in place . A portion of a descending aortic stent is visualized . The heart remains enlarged . Mediastinal contours are stable . There is increasing consolidation at the left base with an associated effusion . These findings are most consistent with increasing lower lobe collapse rather than worsening pneumonia given the position of the ETT tube at this time . The right lung is grossly clear . No pneumothorax .