Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to prior exam , there appears to be increased bilateral pleural effusion with left lower lobe atelectasis , mildly increased from ___ but it is an abrupt change since ___ . ET tube terminates approximately 4 .4 cm from the carina . The cardiomediastinal silhouette is enlarged , but not significantly changed . No pneumothorax is seen . Median sternotomy wires are intact and aligned , surgical clips and other support lines appear to be unchanged in position .
    OUTPUT:
    
1 . Mildly increased bilateral pleural effusion and right lower lobe atelectasis since ___ . 2 . ETT in standard place .