Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new endotracheal tube terminates 5 .8 cm from the carina , this should be advanced for optimal placement . An endotracheal tube terminates within the stomach . A left approach PICC terminates within the distal SVC . Multiple mediastinal clips are unchanged . A large left pleural effusion is new from the prior study causing near complete opacification of the left lung . Minimal rightward mediastinal shift is likely exaggerated by rotation , suggesting significant associated left lung collapse . The right lung is clear .
    OUTPUT:
    
1 . New endotracheal tube terminates 5 .8 cm from the carina and should be advanced for optimal placement . 2 . New large left pleural effusion with significant associated left lung collapse .