Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated . The newly placed ETT tip projects over the midline at the level of the fourth posterior rib approximately 5 .5 cm from the carina . Otherwise , no significant interval change . Apparent elevation of the right hemidiaphragm may in part be positional with associated apparent bronchovascular crowding . Known pneumothorax . There appears to be biapical mild pleural thickening . Cardiomediastinal silhouette is overall unchanged .
    OUTPUT:
    
ETT tip projects over the midline at approximately 5 .5 cm from the carina .