Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New ET tube ends 5 .8 cm above carina . Bilateral small pneumothorax are unchanged . Left chest tube still projects in mid left hemithorax . Right moderate pleural effusion has increased . Left lower lobe heterogeneous opacity has slightly increased , could be due to atelectasis , aspiration or pneumonia in adequate clinical setting . Mediastinal and cardiac contour are unchanged .
    OUTPUT:
    
1 . Bilateral small pneumothorax are unchanged . 2 . Moderate pleural effusion on the right side has slightly worsen . 3 . Left lower lobe heterogenous security opacity has slightly increased and could be related to atelectasis , aspiration or pneumonia in appropriate clinical setting .