Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable radiograph of the chest demonstrates an endotracheal tube which terminates in the right mainstem bronchus which needs to be retracted approximately 5 cm to terminate 4 cm above the level of the carina . There is left lower lobe atelectasis / collapse with volume loss on the left , and leftward shift of the mediastinal structures . An orogastric tube courses through the esophagus and below the diaphragm , terminating in the stomach . A catheter tube overlies the left lung base . The right lung is well - expanded with a linear area of atelectasis within the right lung base . There is no pneumothorax . No pleural effusion is present on the right and a small to moderate pleural effusion is present on the left . There is no evidence of overt pulmonary edema .
    OUTPUT:
    
1 . Endotracheal tube terminates in the right mainstem bronchus , resulting in left lower lobe atelectasis / collapse , and leftward shift of the mediastinum . The ET tube should be retracted 5 cm for in order to terminate 4 cm above the carina . 2 . Small to moderate left pleural effusion . The above findings were communicated to Dr . ___ by Dr . ___ ___ telephone at 10 :00 , 1 minute after discovery .