Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is somewhat limited by patient rotation . An endotracheal tube is in standard position , terminating approximately 4 .2 cm from the carina . An orogastric tube tip is within the distal esophagus and needs further advancement . There is worsening volume loss in the right lung with increased opacification most likely reflective of worsening collapse . A moderate size right pleural effusion is re - demonstrated . Additionally there is rightward shift of mediastinal structures . The aorta is diffusely calcified . The left lung remains clear . No pneumothorax identified . Multiple clips are noted within the right upper quadrant of the abdomen .
    OUTPUT:
    
1 . Increasing volume loss and opacification in the right lung likely reflects worsening collapse with persistent moderate size right pleural effusion . 2 . Endotracheal tube in standard position . Orogastric tube needs to be advanced as the tip is within the distal esophagus .