Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , the tip of an endotracheal tube is seen 4 .4 cm above the carina . Bibasilar opacities are worse in the right and unchanged in the left , and probably represent pneumonia . Hyperinflated lungs are compatible with COPD . Mild left atelectasis is unchanged . Heart size is normal . All other support devices are unchanged . No pneumothorax or pulmonary edema .
    OUTPUT:
    
1 . The tip of an endotracheal tube is 4 .4 cm above the carina . 2 . Worsening right lower lobe pneumonia