Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding . There are new bilateral pleural effusions with adjacent atelectasis , and fluid in the oblique fissure . New increased opacification in the right mid lung may represent atelectasis , however superimposed infection can not be excluded . The heart size is unchanged . There is no pneumothorax . The endotracheal tube ends 1 .3 cm from the carina and the endotracheal tube cuff appears hyperinflated . Vascular congestion has improved over the interval .
    OUTPUT:
    
1 . The endotracheal tube ends 1 .3 cm from the carina and the endotracheal tube cuff appears hyperinflated . 2 . New bilateral pleural effusions with adjacent atelectasis , and new increased opacification the right mid lung which may represent atelectasis or pneumonia . Decreased vascular congestion .