Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lordotic positioning . Compared with ___ at 05 : 40 , an ET tube is now present , tip borderline low , 1 .9 cm above the carina . An NG tube is present , tip extending beneath diaphragm , off film . Left IJ central line tip again overlies the distal SVC . No pneumothorax is detected . Cardiomediastinal silhouette is partially obscured , but probably unchanged . Again seen is hazy density in the right mid can lower zones , consistent with pleural effusion can underlying collapse and / or consolidation . The degree of vascular plethora in the right upper zone may be slightly increased , but there is also considerable artifact due to overlying materials . On the left , no overt CHF . Patchy opacity at the retrocardiac region is similar to the prior film . No left effusion . Old healed right rib fractures and tapered left clavicle again noted .
    OUTPUT:
    
1 . Interval placement of ET tube . The tube lies borderline low , approximately 1 .9 cm above the carina . Clinical correlation regarding possible retraction by 1 cm is requested . 2 . Suspect large right effusion with underlying collapse are the consolidation , similar to the prior film . 3 . Equivocal increase in vascular plethora in the right upper zone -- this area is considerably obscured by artifact due to overlying materials . 4 . Patchy opacity at the left base is similar to the prior film . No significant left - sided vascular plethora and no left pleural effusion .