Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in place with the tip terminating just below the thoracic inlet , 5 .3 cm above the carina . A left pectoral pacemaker is unchanged with a single lead terminating right ventricular apex . A small to moderate left apical pneumothorax is unchanged from the outside chest radiograph and appears opacified by apical fluid on the most recent prior study . There is interval increased opacification of the bilateral lung bases on the left greater than the right . The left lingular and basilar opacification appears complex , corresponding to complex loculated penumathoraces and adjacent parenchymal opacities better seen on the outside CT . Right basilar opacification likely reflects a combination of layering pleural fluid and underlying atelectasis . The right border of the cardiac silhouette is normal in appearance . The mediastinal contours are within normal limits and unchanged .
    OUTPUT:
    
1 . ET tube in appropriate position . 2 . Small to moderate left apical pneumothorax unchanged from outside chest radiograph of ___ . 3 . Opacification of the lingular and left lung base corresponding to complex loculated hydropneumothoraces and adjacent parenchymal opacities better characterized on the outside CT . 4 . Moderate right pleural effusion .