Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube is 1 .8 cm above the carina . The slight interval increase in hazy opacity projecting over the left lower lobe is probably from a layering pleural effusion which also has a fissural component . There is no pneumothorax . Again seen is a dual - lead pacemaker ICD device with leads terminating in the right atrium and ventricle , respectively , unchanged compared to prior exam . The heart appears mildly enlarged . The mediastinal and hilar contours are overall unchanged .
    OUTPUT:
    
ET tube terminates 1 .8 cm above the carina . Increased left pleural effusion These findings were discussed by Dr . ___ with Dr . ___ at 3 : 40 a .m . via telephone on the day of the study .