Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . There has been interval intubation with the endotracheal tube tip located approximately 3 .4 cm above the carina . Midline sternotomy wires again noted as well as overlying EKG leads . Excreted contrast in the left renal collecting system is partially visualized . Increasing ground - glass opacity within both lungs is concerning for worsening edema . Patient is known to have severe emphysema . A deep sulcus sign on the right indicates a small right pleural effusion on this supine radiograph . Known right rib fractures are poorly visualized .
    OUTPUT:
    
1 . Interval intubation with appropriate positioned ET tube . 2 . Small right pneumothorax , new from prior . 3 . Worsening pulmonary edema , superimposed upon a background of emphysema .