Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube ends at 7 cm from carina bifurcation and can be pulled down ___ centimeters . Right axillary pacemaker has two leads that follow a standard course ending in right atrium and right ventricle . Right IJ catheter and NG tube are unchanged and in standard position . Lung volumes are reduced , especially right base for new atelectasis and pleural effusion . Unchanged left base atelectasis . There is no sign of pulmonary edema .
    OUTPUT:
    
New right base atelectasis with likely pleural effusion . Unchanged left base atelectasis .