Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ETT tip ends approximately 5 .5 cm from the carina , too high with the patient 's chin flexed . Left subclavian line ends in the mid SVC . Enteric tube crosses the midline and its tip is not seen . The stomach is nondistended . Minimal decrease in the layering right pleural effusion . Otherwise , no significant change . In the setting of a large right pleural effusion , the right lung can not be fully assessed for consolidation . The heart size is normal . The left lung is clear without focal consolidation to suggest pneumonia . No pneumothorax or overt pulmonary edema .
    OUTPUT:
    
1 . Minimal decrease in the layering large right pleural effusion . Focal consolidation can not be assessed in the setting of a large right effusion . 2 . ETT tip is too high - could be advanced 15 mm .