Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ , endotracheal tube is 5 .5 cm from the carina . Given for differences in technique and patient rotation , new small to moderate right - sided pleural effusion is layering posteriorly . Retrocardiac opacity has improved . Mild pulmonary vascular congestion has progressed . No pneumothorax . Mild cardiomegaly .
    OUTPUT:
    
ETT is 5 .5 cm from the carina Mild pulmonary vascular congestion has worsened and note is made of a new small to moderate right pleural effusion .