Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New endotracheal tube terminates 7 .4 cm from the carina and should be advanced for optimal positioning . The enteric tube extends below the diaphragm and outside of the field of view within the stomach . Heart is upper limits of normal in size accompanied by pulmonary vascular congestion and minimal interstitial edema . Evaluation for pleural effusion is somewhat limited as the costophrenic angles are excluded from the field of view . The cardiomediastinal silhouette is normal . Right lower rib deformities suggest remote prior fractures .
    OUTPUT:
    
New endotracheal tube terminates 7 .4 cm from the carina and patent may be advanced several cm for standard positioning . . Subsequent radiograph performed at the time of this interpretation shows the endotracheal tube has been advanced to 4 .6 cm from the carina .