Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding . Bibasalar atelectasis is unchanged . The left - sided pleural effusion has increased slightly over the interval . The cardiomediastinal and hilar contours are unchanged . No pneumothorax . A right - sided internal jugular central venous line ends in the cavoatrial junction . The left - sided Port - A - Cath ends in the proximal right atrium . The endotracheal tube ends 6 cm from the carina . In nasogastric tube courses into the stomach and out of the field of view .
    OUTPUT:
    
1 . Slight increase in left pleural effusion . Stable bibasalar atelectasis . 2 . The endotracheal tube ends 6 cm from the carina , which is acceptable if the patient 's chin is in the neutral or elevated position , but is too high if the chin is low .