Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube ends approximately 4 .4 cm above the carina and is adequately positioned . Orogastric tube is seen coursing into the stomach ; however , the distal end is off radiographic view . Since ___ , right lower lung opacities have increased and is concerning for aspiration / pneumonia . Increased retrocardiac density suggestive of lower lung atelectasis and presumed small bilateral pleural effusions is similar . Left - sided internal jugular line ends at upper SVC .
    OUTPUT:
    
1 . Increased right lower lung opacities since ___ is concerning for aspiration / pneumonia . Clinical correlation is required 2 . Left lower lung atelectasis and presumed small bilateral pleural effusions are unchanged since ___ .