Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . An ET tube is present , tip approximately 4 .7 cm above the carina . An NG tube is present , tip extending beneath the diaphragm . A left subclavian central line is present , tip over distal SVC . 2 pigtail catheters are present , 1 over the lower portion of both right and left chest . Previously seen small left apical pneumothorax is not appreciated on the current study . And possible and a small medial right apical pneumothorax , as seen previously , could be obscured by The patient rotation . Increased retrocardiac density , consistent with left lower lobe collapse and / or consolidation . The left costophrenic angles better defined , suggestion improvement in the degree of left pleural fluid . Possible trace residual hazy opacity right upper zone . Note again made of the fracture of the right midclavicle .
    OUTPUT:
    
Previously seen small left apical pneumothorax no longer visualized , though this could be artifact due to patient rotation . No other evidence of pneumothorax is detected . No CHF . Left lower lobe collapse and / or consolidation again seen . Suspect interval improvement in small left pleural effusion Minimal residual hazy opacity right upper zone . Right lung and costophrenic sulcus otherwise grossly clear .