Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large left and moderate right layering pleural effusions have increased compared with the prior study . There is no pneumothorax or focal consolidation . Endotracheal tube terminates 8 cm from the carina . A left PICC terminates in the mid SVC , and a right IJ central venous catheter terminates in the distal SVC . Enteric tube courses below the diaphragm and outside of the field of view . Multiple mediastinal clips are unchanged .
    OUTPUT:
    
1 . Interval increase in large left and moderate right layering pleural effusions . 2 . Unchanged positioning of support devices including an endotracheal tube 8 cm from the carina , which should be advanced 3 cm for optimal placement .