Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube ends 5 cm from the carina . An enteric tube ends off the imaged portion of the screen . Left - sided chest tube has been placed and subsequently advanced on subsequent images on this study . The left lower lobe opacity is again seen , which is more apparent compared to prior study and likely represents a component of aspiration or pneumonia . There may also be a small right pleural effusion . Tiny left apical pneumothorax . There is some subcutaneous emphysema on the left .
    OUTPUT:
    
Increased opacification in the left lower lung consistent with aspiration or pneumonia . Likely small left pleural effusion . Tiny left apical pneumothorax . Left chest tube is in place .