Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects towards the right mainstem bronchus and should be retracted . Kinking of the right internal jugular sheath is again noted . Left pleural effusion and left lower lobe atelectasis have increased since the prior study . Small right pleural effusion is likely . Heart size and mediastinal contours are within normal limits . Right lower lobe pneumonia has worsened since the prior radiograph .
    OUTPUT:
    
1 . Low position of the endotracheal tube warrants retraction . 2 . Persistent kinking of the right internal jugular sheath . 3 . Bilateral pleural effusions , left greater than right , with moderate left lower lobe atelectasis . 4 . Right lower lobe pneumonia worsened since the prior radiograph .