Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is 9 cm above the carina . The bronchial stent is again seen in the distal half of the left main bronchus . The right - sided PICC terminates in the mid to low SVC . The enteric tube terminates in the stomach with side port beyond the GE junction . There is complete opacification of the left lung with significant mediastinal shift towards the left , not significantly changed compared to prior study . There may be a left pleural effusion . Paucity of vessels in the right lung apex concerning for emphysema . There is a small right pleural effusion . There is no pneumothorax .
    OUTPUT:
    
1 . Near complete collapse of the left lung with a significant leftward mediastinal shift , unchanged compared to prior study . 2 . Emphysematous changes are noted . 3 . The endotracheal tube is 9 cm above the carina . Recommend pulling forward 4 cm .