Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . The ETT tip is approximately 8 cm from the carina with the neck extended , and should be advanced a few cm lower to avoid inadvertant extubation . Enteric tube traverses midline and tip is not seen . Right internal jugular venous catheter tip is unchanged in position with apparent kinks unchanged . Median sternotomy wires are unchanged , including a break in the upper most aspect . Low lung volumes persist . The heart is probably enlarged , overall similar . No pneumothorax . Left lung atelectasis is worse . No pleural effusion .
    OUTPUT:
    
1 . ETT is high and could be advanced further at least 2 cm to avoid inadvertent extubation . 2 . Increased left lung atelectasis .