Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right distal clavicular fracture is a partially imaged on this radiograph . Since the prior study , the endotracheal tube has been advanced , no terminating less than 3 cm from the carina . Left - sided PICC line terminates in the upper right atrium . Enteric tube terminates in the left upper quadrant , as before . Heart size is stable and retrocardiac opacification is unchanged , likely reflecting atelectasis . Small left pleural effusion is no larger than the prior radiograph .
    OUTPUT:
    
1 . Interval advancement of the endotracheal tube , now terminating less than 3 cm from the carina . 2 . Unchanged left lower lobe atelectasis and small left pleural effusion .