Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are moderately well inflated . There are unchanged rounded opacities in both lower lobes , left greater than right likely metastases . Small left pleural effusion . Cardiomediastinal silhouette is normal . Endotracheal tube terminates at 5 .5 cm above the carina in the mid trachea . Left Port - A - Cath terminates at the cavoatrial junction , enteric tube courses below the diaphragm , tip not included on this radiograph , EKG leads overlie the chest wall .
    OUTPUT:
    
1 . Endotracheal tube terminates in the midtrachea , approximately 5 .5 cm above the carina . It appeared just below the thoracic inlet on the prior radiograph and possibly has been readjusted . 2 . Numerous rounded likely pulmonary metastases , left greater than right are again visualized , unchanged . 3 . Rest of the lines and tubes as above .