Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates 6 .5 cm from the carina . Enteric tube terminates in the left upper quadrant . Left IJ central venous line terminates in the midline , in the region of the brachiocephalic vein . Moderate cardiomegaly is unchanged . Right lower lobe collapse and significant right middle lobe atelectasis is unchanged . Left lower lobe atelectasis has increased since the prior study . Small right pleural effusion is likely .
    OUTPUT:
    
No change in right middle and lower lobe collapse , with increased atelectasis in left lower lobe .