Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular central line terminates in the mid SVC . Endotracheal tube is appropriately positioned 4 .2 cm above the carina . A left PICC terminates in the lower SVC . Again seen are moderate pleural effusions , similar to the previous exam . A vertical line in the right hemithorax represents a skinfold . There is no pneumothorax or focal consolidation . Mild pulmonary edema is stable . Cardiomegaly is unchanged .
    OUTPUT:
    
No significant interval change since the prior exam .