Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior CXR , there has been interval placement of an enteric tube that terminates in the stomach , but the sidehole is at the GE junction . Endotracheal tube terminates 5 .5 cm above the carina . The right sided PICC line has been advanced and now terminates in the mid right atrium . There has been interval worsening of the right layering pleural effusion and adjacent atelectasis . No left pleural effusion . No pneumothorax . Heart size is top normal . Mediastinum appears widened , likely due to patient rotation . Cervical fusion device is unchanged in location .
    OUTPUT:
    
1 . Interval advancement of the right PICC line , which now terminates in the right atrium . There is should be retracted 2 cm to place it at the cavoatrial junction . 2 . Sidehole of enteric tube is at the GE junction and should be advanced by 4 cm . 3 . Worsening layering right effusion .