Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new endotracheal tube with the tip in mid trachea , approximately 4 .4 cm from the carina . Subclavian PICC line is again visualized , but the tip is at the junction of the brachiocephalic vein and superior vena cava . Again visualized is a moderate layering left pleural effusion as well as a small right pleural effusion . Left basilar atelectasis appears unchanged . The cardiomediastinal silhouette is otherwise unremarkable . There is no evidence of new consolidations , effusions , or pneumothoraces .
    OUTPUT:
    
Endotracheal tube tip is in standard position . Otherwise , little change in comparison to prior study from earlier today .