Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube tip lies approximately 4 .2 cm above the carina . An NG type tube is present , tip overlying gastric fundus . The sideport lies in the region of the GE junction . They right ___- Ganz catheter tip overlies the main pulmonary artery . A left IJ central line tip lies in the region of the distal SVC / RA junction . Again seen is an ECMO catheter , similar in position . Multiple surgical clips overlie the upper right chest wall and surrounding soft tissues . Again seen is marked widening of the mediastinum , similar to the prior study . Also again seen is increased retrocardiac density , consistent with left lower lobe collapse and / or consolidation and a left pleural effusion can not be excluded . Also again seen is a right pleural effusion , slightly larger , with fluid now seen in the minor fissure and with fluid / pleural thickening again seen along the right chest wall . There is underlying bibasilar collapse and / or consolidation . Hazy density in the right lung could represent some degree of layering pleural fluid . There is upper zone wrist there is mild upper zone redistribution decreased compared with earlier the same day .
    OUTPUT:
    
Slight interval increase in right pleural effusion . The right pleural effusion may also account for the hazy density through the right lung . Possibility of a left pleural effusion can not be excluded , with minimal , if any , interval increase compared with the prior film . Otherwise , doubt significant interval change .