Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right PICC , left subclavian central line , and NG tube are in unchanged positions . The ET tube is 18 mm from the carinal with the chin down . Lung volumes are low . There is progressive consolidation in the right lower lobe that may be a worsening pneumonia . There is no pneumothorax . The cardiomediastinal silhouette is mildly enlarged , similar to prior exam .
    OUTPUT:
    
1 . The ET tube is 18 mm from the carinal with the chin down . Recommend pull back by 1 .0 cm for optimal placement . 2 . Progressive consolidation in the right lower lobe that may be a worsening pneumonia .