Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of an endotracheal tube which is placed too inferiorly with tip terminating 1 .3 cm cranial to the carina . There is otherwise no significant change compared to the examination from 2 .5 hours prior .
    OUTPUT:
    
Endotracheal tube placement is too low and should be pulled back by at least 2 cm . Discussed with MICU nurse , ___ over the telephone at 9 : 18 am ___ at time of initial review .