Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Film is being analyzed with subsequent chest radiographs already taken . As compared to prior chest radiograph from ___ , there has been interval placement of an ET tube with the tip ending proximal to the carina . There are new moderate - to - large bilateral pleural effusions . There is atelectasis at the left lower lung . Pulmonary vasculature is engorged . There is no pneumothorax .
    OUTPUT:
    
1 . ET tube terminates proximal to the carina , for which withdrawal of at least 4 cm is recommended . Finding identified with subsequent chest radiographs already taken . 2 . New moderate - to - large bilateral pleural effusions with engorgement of pulmonary vasculature . These findings were discussed with Dr . ___ by Dr . ___ via telephone on ___ at 11 :45 a .m . , at time of discovery .