Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a knee new ET tube which is 2 low , at the right mainstem bronchus . The right IJ line tip is at the distal SVC . There is increased size of the right pleural effusion layering posteriorly and surrounding the right lung . The 2 right - sided chest tubes are again visualized . There is increased opacity about the right lung centrally . It is unclear how much of this is fluid layering posteriorly and a how much is due to volume loss / infiltrate There is a small left effusion . There is volume loss at both bases .
    OUTPUT:
    
Worsened appearance to the lungs . ET tube 2 low , at the right mainstem bronchus