Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of a new ETT is seen 5 .8 cm above the carina . A right IJ central line is seen in unchanged position . There is little change in the appearance of the lungs since prior exam The heart size is top normal in size but this may be due to patient obliquity . No pneumothorax or pleural effusion . Posterior lumbar fusion hardware and overlying surgical ___ are incidentally noted .
    OUTPUT:
    
1 . The tip of a new ETT is seen at 5 .8 cm above the carina . Otherwise , little change in the appearance of the lungs and heart since ___ .