Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Since prior there has been interval placement of a endotracheal tube whose tip is at the carina and should be withdrawn . Left PICC again seen . NG tube passes below the inferior field of view . Bilateral , left greater than right pleural effusions are again noted . Remaining findings in the chest have not significantly changed .
    OUTPUT:
    
Interval placement of an endotracheal tube whose tip is at the carina and should be withdrawn . Nasogastric tube in appropriate position . Hopefully to visit evolving may extend to the tube had The endotracheal tube had already been withdrawn at time of this dictation as seen on follow up CT .