Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube tip 2 .8 cm above the carina . Local increase in caliber about the distal ET tube immediately above the level of the medial clavicular heads raises the question of slight distension of the ET tube balloon / cuff . The appearance is improved compared with ___ , but remains slightly prominent . The NG tube tip and side - port extend beneath diaphragm , with the NG tube tip extending off the film . . Right IJ central line tip overlying the upper / mid right atrium , unchanged . No pneumothorax is detected . Mild cardiomegaly is unchanged . Minimal upper zone redistribution and slight is also unchanged . Patchy bibasilar opacities are probably similar . However , on the current study , there is partial obscuration left hemidiaphragm . No right pleural effusion . Small left effusion would be difficult to exclude . Known left - sided rib and scapular fractures are noted , but not well depicted radiographically .
    OUTPUT:
    
Probable slight worsening of collapse / consolidation the left lung base . Equivocal small left effusion . Otherwise , the overall appearance is similar . Clinical correlation requested regarding the degree of distention of the balloon / cuff about the ET tube , as there is slight focal prominence of the caliber of the trachea about the tube .