Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The new endotracheal tube ends 3 .3 cm from the carina . The right chest wall Port - A - Cath and the left IJ central venous catheter end in the cavoatrial junction . When compared with the immediate prior study , the lung volumes are somewhat improved . There is a new moderate left pleural effusion . The left apical and right basilar opacities are unchanged and compatible with known metastatic disease . There is no focal consolidation , pneumothorax , or pulmonary edema . The heart is enlarged . Incidental note is made of new spinal fusion rods and screws and midline ___ .
    OUTPUT:
    
1 . New endotracheal tube ends 3 .3 cm the carina . 2 . New moderate left pleural effusion .