Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC terminates in the cavoatrial junction . The endotracheal tube is 1 .5 cm above the carina . The enteric tube extends beyond the GE junction with tip out of view . The nasogastric tube extends beyond the image and loops back with tip terminating in the stomach . Lung volumes are low . Cardiomediastinal silhouette is unchanged . There is mild pulmonary vascular congestion , unchanged compared to prior study . Bibasilar atelectasis is present . The small right pleural effusion persists . Increased hazy opacity overlying the left lung likely represents layering of the left pleural effusion posteriorly with the patient in the supine position . No pneumothorax .
    OUTPUT:
    
1 . Right - sided pleural effusion is unchanged . Layering left pleural effusion is likely unchanged compared to prior study . 2 . The endotracheal tube is 1 .5 cm above the carina .