Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is poor lung expansion . Continued bilateral basilar atelectatic changes consistent with prior exam . ET tube is now noted with distal tip approximately 1 .8 cm above the carinal . It is recommended to withdraw ET tube approximately 1 .5 cm . There is a question of over - inflation of the ET tube balloon / cuff , it is unclear if this is necessary given patient 's known tracheobronchial malacia . Otherwise there are no significant interval changes noted .
    OUTPUT:
    
Interval placement of ET tube with distal tip 1 .8 cm above the carina . Recommend withdrawal 1 .5 cm .