Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of an endotracheal tube which projects 1 .9 cm from the carina . Two right internal jugular central venous lines are present , unchanged . The costophrenic angles are not included on this radiograph . Unchanged appearance of the visualized lung parenchyma including bilateral layering pleural effusions . The size of the cardiac silhouette is unchanged .
    OUTPUT:
    
Interval placement of an endotracheal tube which projects 1 .9 cm from the carina . Findings were communicated to and acknowledged by ___ at ___h___ by ___ , MD