Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates increased conspicuity of the loculated left apical hydro-pneumothorax , raises concern for interval increase in size . There are stable small bilateral pleural effusions with adjacent atelectasis . Superimposed infection could be considered in the appropriate clinical setting . Stable appearing vascular congestion . Unchanged cardiomediastinal and hilar contours . Endotracheal tube ends 4 cm from the carina .
    OUTPUT:
    
1 . Endotracheal tube ends 4 cm from the carina . 2 . Increased conspicuity of the loculated left apical hydro-pneumothorax raises concern for interval increase in size .