Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube terminates 8 .5 cm above the carina . A nasogastric tube follows a normal course but the last side port is above the GE junction . A left - sided chest tube terminates in the medial left apex . A left subclavian central venous catheter terminates in the brachiocephalic vein . There is minimal left apical pleural fluid as before . Right apical atelectasis has improved . Newly apparent diffuse increased opacity in the right hemithorax is probably due to layering pleural effusion . Bilateral rib fractures are again seen . Cardiomediastinal silhouette is stable .
    OUTPUT:
    
1 . Left thoracostomy tube in unchanged position . 2 . Endotracheal tube terminates 8 .5 cm above the carina and could be advanced . 3 . Nasogastric tube with last side port above the GE junction . Recommend advancing at least 3 cm . 4 . Increased opacity in the right hemithorax suggests layering pleural fluid .