Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube terminates 4 .1 cm from the Carina . The cuff is slightly hyper inflated . Right IJ terminates in the upper right atrium . Enteric tube courses below the left hemidiaphragm and beyond the field of view . Lung volumes are very low . There is worsening atelectasis at the right base . Worsening opacity at the left base likely reflects layering pleural effusion .
    OUTPUT:
    
1 . ET tube terminates 4 .1 cm from the Carina . The ET tube cuff may be slightly hyperinflated . 2 . Lung volumes are lower and there may be minimal worsening of layering left pleural effusion .