Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is 4 .3 cm from the carina . Right IJ central line terminates within the right atrium and should be pulled back 3 cm . Since the prior radiograph , there is no significant interval change . There are no pleural effusions or pneumothorax . The cardiomediastinal silhouette is unchanged . NG tube is seen coursing below the diaphragm .
    OUTPUT:
    
1 . ET tube 4 .3 cm from the carina . Right IJ central line is within the right atrium . Recommend retracting 3 cm . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone at 11 : 50 am .