Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A kinked right IJ catheter sheath is unchanged . ET tube terminates at the carina at level of the orifice of the left mainstem bronchus . A nasogastric tube courses below the hemidiaphragm , tip not visualized . New right basilar airspace opacity is worrisome for aspiration or infection . Increased retrocardiac airspace opacification may also be due to aspiration or atelectasis . There is a new small layering left pleural effusion . The heart and mediastinum are within normal limits despite the projection . There is no pneumothorax . Acute right rib fractures are Re demonstrated .
    OUTPUT:
    
Low - lying ET to 6 of the level of the carinal at the orifice of the left mainstem bronchus . Retraction by 2 - 3 cm with positioning in the lower trachea . New right basilar airspace opacity is worrisome for aspiration or infection . Increased retrocardiac airspace opacification may be due to aspiration or atelectasis . New small layering left pleural effusion . Stable acute right rib fractures .